Active NPI
Stacy Green Christensen, LPTA
- Physical Therapy Assistant
- Lawrenceburg, TN
National Provider Identifier
1982178026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA0000006474
- Practice address
- 2380 Buffalo Rd
Lawrenceburg, TN 38464-4809 - Phone
- (931) 762-9418
- Fax
- (931) 766-0573
- NPI assigned
- Jan 11, 2019
- 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 Therapy Assistant | 225200000X | PTA8415 | AL | |
| Physical Therapy Assistant | 225200000X | PTA0000006474 | TN | Primary |
Addresses
Primary practice location
2380 Buffalo Rd
Lawrenceburg, TN 38464-4809
Mailing address
21 Magnolia LN
Rogersville, AL 35652-3662
Phone (256) 710-4474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA8415 | AL | MD | Physical Therapy Assistant |
| PTA0000006474 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1982178026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MAGNOLIA LN",
"city": "ROGERSVILLE",
"state": "AL",
"postal_code": "356523662",
"telephone_number": "256-710-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 BUFFALO RD",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384644809",
"telephone_number": "931-762-9418",
"fax_number": "931-766-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "STACY",
"middle_name": "GREEN",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA8415",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "PTA0000006474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.