Active NPIIndividual providerSole proprietor

Mrs. Stacey A Minio, PT

Physical Therapist in Upper Holland, Pennsylvania

NPI Number1265625594
Practice location
55 E Ridge Cir, Upper Holland, PA 19053-1539
Fax
215-734-2402
Last updated
July 7, 2020

Stacey Ann Minio is a Physical Therapist based in Upper Holland, PA. Stacey Ann Minio practices in Upper Holland, PA and has the professional credentials of PT. The NPI Number for Stacey Ann Minio is 1265625594 and holds a License No. 40QA00913100 (NJ). The current practice location address for Stacey Ann Minio is 55 E Ridge Cir, Upper Holland, PA 19053-1539 and can be reached out via phone at 215-208-0654 and via fax at 215-734-2402.

Provider Profile Details

NPI Number
1265625594
Provider Name
Stacey Ann Minio
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
55 E Ridge Cir, Upper Holland, PA 19053-1539
Phone Number
215-208-0654
Fax Number
215-734-2402
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2007
Last Update Date
July 7, 2020
Certification Date
July 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 E Ridge Cir
Upper Holland, PA 19053-1539
Zip
19053-1539
Phone Number
215-208-0654
Fax Number
215-734-2402
Upper Holland, PA 19053Get directions →

Provider Business Mailing Address Details

Address
55 E Ridge Cir
Upper Holland, PA 19053-1539
City
Upper Holland
State
PA
Zip
19053-1539
Phone Number
215-208-0654
Fax Number
215-734-2402

License Information

License Number (1)
40QA00913100
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT015604
License State (2)
PA
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Stacey A Minio, PT?

The NPI number of Mrs. Stacey A Minio, PT is 1265625594. It was assigned on August 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stacey A Minio, PT?

Mrs. Stacey A Minio, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00913100.

Where does Mrs. Stacey A Minio, PT practice?

The practice location is 55 E Ridge Cir, Upper Holland, PA 19053-1539. The office can be reached at 215-208-0654 (phone) or 215-734-2402 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265625594 directly on the NPPES registry website.

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