Individual provider Active NPI

Stacey Anne Wood, PT, ATC, MTC

  • Physical Therapist
  • Grand Junction, CO
National Provider Identifier
1740287366
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3113 Issued in CO
Practice address
321 Rood Ave
Grand Junction, CO 81501-2451
Phone
(970) 242-0111
Fax
(970) 263-4334
NPI assigned
Jun 29, 2005
Last updated
Jan 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3113 CO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3113COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Rock Sports and Orthopaedics Physical Therapist Past Accepting new patients
Grand Junction Therapies and Wellness Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1740287366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 F 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045519",
            "telephone_number": "970-434-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012451",
            "telephone_number": "970-242-0111",
            "fax_number": "970-263-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "STACEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.