Stacy Lyn Neuschaefer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2973 Issued in OK

Practice address

5909 NW Expressway Ste 229
Oklahoma City, OK 73132-5161

Phone

(801) 440-5592

Fax

(801) 206-3059

NPI assigned

Jun 28, 2023

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

• Stacy Jorgenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wheelchair Clinic Inc

  • Physical Therapist
  • Amarillo, TX
  • NPI 1265904064
  NPD

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1902583362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E VILLAGE GREEN CIR STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205500",
            "telephone_number": "801-440-5592",
            "fax_number": "801-206-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 NW EXPRESSWAY STE 229",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325161",
            "telephone_number": "801-440-5592",
            "fax_number": "801-206-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSCHAEFER",
        "first_name": "STACY",
        "middle_name": "LYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "JORGENSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neuroradiology & Pain Solutions, PLLC
• Neuroresources Rehabilitation Specialists, LLC
• Neuroresources, PLLC
• Neuroscience Specialists PC
• Neurosurgical and Spine Associates of Oklahoma, PC
• John Ledrew Neville
• Karie Neville
• Trevor Neville
• New Alternatives Counseling, LLC
• New Beginnings Christian Counseling LLC

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.