Active NPI
Stacey Denise Hall, MSPT
- Physical Therapist
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11049
- Practice address
- 1129 E Marion St
Shelby, NC 28150-4843 - Phone
- (704) 471-0001
- NPI assigned
- Mar 30, 2007
- Last updated
- Jan 27, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | .4427 | SC | |
| Physical Therapist | 225100000X | P11049 | NC | Primary |
Addresses
Primary practice location
1129 E Marion St
Shelby, NC 28150-4843
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Other practice location 1
2549 Napa Ter
Clover, SC 29710-4218
Phone (843) 319-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .4427 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT NC LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients | |
| Ivyrehab Focus, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
9325 Jw Clay Blvd
Ste 224
Charlotte, NC 28262
Phone (704) 755-4278
836 E King St
Kings Mountain, NC 28086
Phone (704) 739-5995
2008 Moore Rd
Matthews, NC 28105
1129 E Marion St
Shelby, NC 28150
Phone (704) 471-0001
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 5
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.
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- Matthews, NC
- NPI 1053199844
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
- Physical Medicine & Rehabilitation Physician
- Lake Wylie, SC
- NPI 1518105279
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1902926215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 E MARION ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504843",
"telephone_number": "704-471-0001"
}
],
"practiceLocations": [
{
"address_1": "2549 Napa Ter",
"address_purpose": "LOCATION",
"city": "Clover",
"state": "SC",
"postal_code": "297104218",
"country_code": "US",
"telephone_number": "843-319-9009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "STACEY",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": ".4427",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.