Stacy J Border, DPT
Individual provider Active NPI Physical Therapist · Morehead, KY
NPI 1982010476 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1982010476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 014879 (OH)
- Practice address
- 272 Kroger Ctr
Morehead, KY 40351-8894 - Phone
- (606) 393-0304
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014879 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014879 | OH | Yes |
Addresses
Primary practice location
272 Kroger Ctr
Morehead, KY 40351-8894
Mailing address
10701 East Blvd
Cleveland, OH 44106-1702
Phone (330) 216-3800
Other practice location 1
10701 East Blvd
Cleveland, OH 44106-1702
Phone (330) 216-3800 ext. 1107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007054 | Other | KY | KY LICENSE |
Other providers in Morehead, KY
- Shane Blume
- Laurie Bobyack
- Jill Michelle Boggs
- Jordan Stacey Boggs
- Leann Marie Bordelon
- Elena Botsford
- Brittany Bowling
- Keenis Bowling
- Jenna Bradley
- Brent L. McDaniel DDS PSC
All providers in Morehead, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.