Individual provider Active NPI

Stacey Fransen

  • Physical Therapist
  • Jersey Village, TX
National Provider Identifier
1881429033
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1133965 Issued in TX
Practice address
15718 Tenbury St
Jersey Village, TX 77040-1262
Phone
(203) 809-1003
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 1133965 TX Primary

Addresses

Primary practice location

15718 Tenbury St
Jersey Village, TX 77040-1262

Mailing address

15718 Tenbury St
Jersey Village, TX 77040-1262
Phone (203) 809-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108002662 TX Practitioner - Physical Therapist in Private Practice 3779017074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliates Prime Plus, LLCGroup PAC ID 4284098419, 7 clinicians

Practice addresses (Care Compare)

800 Bering Dr
Suite 101
Houston, TX 77057-2130
Phone (832) 494-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1133965TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates Prime Plus, LLC Physical Therapist CurrentSince Oct 15, 2024 Accepting new patients

Locations

800 Bering Dr
Ste 101
Houston, TX 77057
Phone (832) 494-2200

Interoperability endpoints

  • Direct secure messaging: stacey.fransen.1@19133.direct.athenahealth.com

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1881429033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15718 TENBURY ST",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401262",
            "telephone_number": "203-809-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15718 TENBURY ST",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401262",
            "telephone_number": "203-809-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANSEN",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1133965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.