Individual provider Active NPI

Stacy Murphy, DPT

  • Physical Therapist
  • Wimberley, TX
National Provider Identifier
1841833811
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1205739 Issued in TX
Practice address
14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019
Phone
(512) 847-3300
Fax
(512) 847-3314
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 1205739 TX Primary

Addresses

Primary practice location

14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019

Mailing address

350 Stagecoach TRL Ste 100
San Marcos, TX 78666-5493
Phone (512) 886-3701

Other practice location 1

350 Stagecoach Trl Ste 100
San Marcos, TX 78666-5493
Phone (512) 886-3701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107000331 TX Practitioner - Physical Therapist in Private Practice 6800220419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2 M Polhemus LLCGroup PAC ID 6103092390, 7 clinicians

Practice addresses (Care Compare)

14100 Ranch Rd
12 Unit 100
Wimberley, TX 78676-0019
Phone (512) 847-3300

Merit-based Incentive Payment System (MIPS)

Final score
82.84 of 100Reported as group
Quality
80.88
Improvement activities
40
Cost
68.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1205739TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
2 M Polhemus LLC Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients

Locations

350 Stagecoach Trl
Ste 100
San Marcos, TX 78666
Phone (512) 886-3701

14100 Ranch Road 12
Unit 100
Wimberley, TX 78676
Phone (512) 847-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1841833811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 STAGECOACH TRL STE 100",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665493",
            "telephone_number": "512-886-3701",
            "fax_number": "512-886-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 100",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760019",
            "telephone_number": "512-847-3300",
            "fax_number": "512-847-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Stagecoach Trl Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786665493",
            "country_code": "US",
            "telephone_number": "512-886-3701",
            "fax_number": "512-886-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "STACY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1205739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.