STACY BENNER (NPI# 1104390962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104390962 |
| Entity Type | Individual |
| Full Name | STACY BENNER |
| Credential | PT |
| Practice Address |
350 Montevue Ln Frederick MD 21702-8214 |
| Practice Telephone | 3016003211 |
| Mailing Telephone | 3016003211 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 17310 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
350 MONTEVUE LN |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083603914 | Frederick County Health Department | Public Health or Welfare | 350 Montevue Ln, Frederick, MD 21702-8214 | 2005-10-13 |
| 1821636556 | Melissa Rios | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-12-12 |
| 1144872375 | Frederick County Health Department | Case Management | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-07-09 |
| 1053963280 | Frederick County Health Department | Public Health or Welfare | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-07-09 |
| 1508324914 | Hanna Lee | Social Worker | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-03-05 |
| 1487127247 | Crystal Marie Ciccarelli | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-04 |
| 1982177994 | Mary Michele Obenland | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-03 |
| 1184196198 | Catherine Evich Johnson | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-02 |
| 1427520436 | Karen Cocklin Tushek | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-02 |
| 1972075422 | Kyrsten M Gaines | Speech-Language Pathologist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2018-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677200 | Anjali R Ghodake | Physical Therapist | 405 S Jefferson St Unit B, Frederick, MD 21701-6272 | 2019-06-11 |
| 1790343812 | Amanda Jean Lievendag | Physical Therapist | 7200 Bank Ct Ste 110, Frederick, MD 21703-2886 | 2019-06-04 |
| 1538627492 | Optimum Physical Therapy and Wellness, LLC | Physical Therapist | 1050 Key Pkwy Ste 202, Frederick, MD 21702-4551 | 2019-03-08 |
| 1053892380 | Kelley Ann Fiedler | Physical Therapist | 5100 Buckeystown Pike Ste 158, Frederick, MD 21704-8337 | 2018-08-24 |
| 1861970568 | Shannon Byers | Physical Therapist | 84 Thomas Johnson Ct Ste B, Frederick, MD 21702-4678 | 2018-08-03 |
| 1083120430 | Maryland Sportscare & Rehab LLC | Physical Therapist | 1845 Brookfield Ct, Frederick, MD 21701-8700 | 2017-12-21 |
| 1861910606 | Kimberly Anne Brown | Physical Therapist | 7211 Bank Ct Ste 120, Frederick, MD 21703-8479 | 2017-08-31 |
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1891211900 | Ryan Mathew Byers | Physical Therapist | 604 Solarex Ct Unit 104, Frederick, MD 21703-8678 | 2017-08-21 |
| 1285150524 | Rm Health Services, LLC | Physical Therapist | 603 W Patrick St Ste B, Frederick, MD 21701-4090 | 2017-08-18 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.