Stacy Dale

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

609 E Young Ave Ste B12
Warrensburg, MO 64093-9609

Phone

(660) 747-2370

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Kansas City, MO
  • NPI 1033179510

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Parkville, MO
  • NPI 1831844885

  Physical Therapist

  NPD
• Select Physical Therapy of Blue Springs Limited Partnership

  • Rehabilitation Clinic/Center
  • Blue Springs, MO
  • NPI 1023078599
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750468880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 SE COUNTY ROAD Y",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640938350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E YOUNG AVE STE B12",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939609",
            "telephone_number": "660-747-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "105568",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Lynn D'Amico, O.D.
• D/B/a Western Missouri Pediatrics
• Brenda Joanne Dahlhoff, MS, LPC, NCC
• Charles John Dahlstrom, PH.D..
• Michelle L Dahlstrom, MS
• Allison Gail Dalton
• Janice L Darling, CRNA
• David Todd Quibell
• Zachary Degner, M.D.
• Donna J Dement

• Physical Therapist in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Physical Therapist in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.