Stacey J Ladd, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400002594 Issued in VT

Practice address

184 Route 7 South
Milton, VT 05468-0776

Phone

(802) 893-7427

Fax

(802) 893-7429

NPI assigned

Aug 30, 2006

Last updated

Nov 30, 2007By the provider in NPPES

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 names 1

• Stacey J Olsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Excel Physical Therapy Inc

  • Physical Therapist
  • Milton, VT
  • NPI 1982708012
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1801906375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "address_2": "184 ROUTE 7 SOUTH",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680776",
            "telephone_number": "802-893-7427",
            "fax_number": "802-893-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ROUTE 7 SOUTH",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680776",
            "telephone_number": "802-893-7427",
            "fax_number": "802-893-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "STACEY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "OLSEN",
            "middle_name": "J",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler King, PHARMD
• Edward Rowe Klingebiel, D.D.S.
• Annie Koch
• Tami Koester
• KPH Healthcare Services, Inc. (Kinney Drugs #35)
• Elizabeth Landell, MD
• Amanda Lapierre, DPT
• Shelly L Lapierre, DPT
• Kristin M Laskowski, ATC
• Meghann Leclair

• Physical Therapist in Milton, VT
• Providers in Milton, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.