Stacey Evans Fletcher, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18328 Issued in NC

Practice address

3150 Rogers Rd Ste 216
Wake Forest, NC 27587-7068

Phone

(919) 229-8363

Fax

(919) 229-8356

NPI assigned

Jan 28, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Stacey Lynn Evans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1972834182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HIGH HOUSE RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133510",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 216",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877068",
            "telephone_number": "919-229-8363",
            "fax_number": "919-229-8356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8531 Veterans Hwy",
            "address_2": "105",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211082651",
            "country_code": "US",
            "telephone_number": "410-987-2162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "STACEY",
        "middle_name": "EVANS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23119",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "EVANS",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Lee Fingers, PHARM D.
• Timothy J. Finn, APA-C
• Leigh Anne Fisher, LMFTA
• Martha Jeanne Fisher, DDS
• William H Fitts, DDS
• Amanda Elizabeth Flores, PHARM D
• Angela Florimo, LPC-A
• Florvia Care LLC
• Bridget A Flynn, LMFT, ATR
• Tracy Ann Flynn, M.S. ED., LPC

• Physical Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.