Stacey Anne Wood, PT, ATC, MTC
Individual provider Active NPI Physical Therapist · Grand Junction, CO
NPI 1740287366 · NPPES record last updated Jan 21, 2008
Key facts
- NPI
- 1740287366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3113 (CO)
- Practice address
- 321 Rood Ave
Grand Junction, CO 81501-2451 - Phone
- (970) 242-0111
- Fax
- (970) 263-4334
- NPI assigned
- Jun 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3113 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Junction Therapies and Wellness | Past | Accepting new patients | |
| Balanced Rock Sports and Orthopaedics | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3113 | CO | Yes |
Addresses
Primary practice location
321 Rood Ave
Grand Junction, CO 81501-2451
Mailing address
3028 F 1/2 Rd
Grand Junction, CO 81504-5519
Phone (970) 434-2729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38709252 | Medicaid | CO |
Other providers in Grand Junction, CO
- Christine Wolcott
- Jennifer Rebecca Wolf
- Womens Healthcare of Western Colorado, P.C.
- Carson Graham Wood
- John Andrew Wood
- Trenten Michael Wood
- Bonnie Jo Woods
- Janice Lea Woods
- Sherry Ann Woods
- Brent Allen Woodson
All providers in Grand Junction, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.