Lisa Langley Stacy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5179 Marsden Trce
Powder Springs, GA 30127-4321

Phone

(678) 472-4042

NPI assigned

Oct 4, 2006

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inclusive Rehabilitation LLCGroup PAC ID 3476958976, 8 clinicians

Horizons Therapy Group, Inc.Group PAC ID 5496781627, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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.

• Horizons Therapy Group, Inc.

  • Physical Therapist
  • Cedartown, GA
  • NPI 1720373020

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Inclusive Rehabilitation LLC

  • Speech-Language Pathologist
  • Canton, GA
  • NPI 1417525916

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Inclusive Rehabilitation LLC

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1295626448

  Single Specialty

  NPD
• Jorge a. Bueno Chiropractic LLC

  • Nutrition Chiropractor
  • Acworth, GA
  • NPI 1962679340

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1851486070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 WOODFALL RD",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301255904",
            "telephone_number": "678-472-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5179 MARSDEN TRCE",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274321",
            "telephone_number": "678-472-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "LISA",
        "middle_name": "LANGLEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736506618A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheeritza St. Germain, LMSW
• Barry Carter Stacey, D.M.D.
• Straughn Elite Services, Inc
• Sunshine Counseling, LLC (Sunshine Counseling)
• Supreme Healthcare System Inc (Mallamby Homecare Services)
• Surgical Assistant Counsulting of Georgia L.L.C.
• Surgical Assisting Services, Inc

• Physical Therapist in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.