Active NPI
Stacy L Herron, PT
- Physical Therapist
- Plattsburgh, NY
National Provider Identifier
1831454982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034289
- Practice address
- 70 Court St
Plattsburgh, NY 12901-2832 - Phone
- (518) 563-7777
- Fax
- (518) 563-7770
- NPI assigned
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034289 | NY | Primary |
Addresses
Primary practice location
70 Court St
Plattsburgh, NY 12901-2832
Mailing address
PO Box 2868
Plattsburgh, NY 12901-0259
Phone (518) 562-7900
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerald V Harrell OD PC Professional Corporation Nys | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Plattsburgh, NY
- NPI 1083782866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1831454982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2868",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129010259",
"telephone_number": "518-562-7900",
"fax_number": "518-562-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 COURT ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012832",
"telephone_number": "518-563-7777",
"fax_number": "518-563-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "STACY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.