Individual provider Active NPI

Stacy Allison Donner, R PT

  • Physical Therapist
  • Plantation, FL
National Provider Identifier
1740294289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
861 N Nob Hill Road
Plantation, FL 33324
Phone
(954) 577-5705
Fax
(954) 577-0168
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

861 N Nob Hill Road
Plantation, FL 33324

Mailing address

2252 Waycross Rd
Cincinnati, OH 45240
Phone (513) 742-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000516 FL Practitioner - Physical Therapist in Private Practice 8921992181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donner Physical Therapy and Sports Rehab IncGroup PAC ID 2961695614, 3 clinicians

Practice addresses (Care Compare)

8040 Peters Rd
Suite H107
Plantation, FL 33324-4029
Phone (954) 835-5619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Donner Physical Therapy and Sports Rehab Inc Physical Therapist CurrentSince Aug 2, 2010 Accepting new patients
United Outreach Inc Physical Therapist Past Accepting new patients
Cora Health Services, Inc Past Accepting new patients

Locations

8040 Peters Rd
Ste H107
Plantation, FL 33324
Phone (954) 296-8258

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740294289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45240",
            "telephone_number": "513-742-2333",
            "fax_number": "513-742-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 N NOB HILL ROAD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-577-5705",
            "fax_number": "954-577-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "STACY",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "R PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.