STACI GAYE ELLIS (NPI# 1376543884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376543884 |
| Entity Type | Individual |
| Full Name | STACI GAYE ELLIS |
| Other Name | STACI GAYE GUFFEY |
| Credential | MSPT |
| Practice Address |
7308 Bridgeport Way W Ste 103 Lakewood WA 98499-8000 |
| Mailing Address |
3209 S 23rd St Tacoma WA 98405-1602 |
| Practice Telephone | 2535828500 |
| Practice Fax Number | 2535828160 |
| Mailing Telephone | 2534596999 |
| Mailing Fax Number | 2534596980 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT7361 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PT LICENSE | 00007361 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4905 108th St Sw, Lakewood, WA 984993724 | 2535890611 | 2535882277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639519044 | Staci Dawn Ellis | Specialist | 1529 Belmont St, Boise, ID 83725-0001 | 2013-06-29 |
| Street Address |
7308 BRIDGEPORT WAY W STE 103 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942772215 | Maggie Chan | Physical Therapist | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2018-12-26 |
| 1568951416 | Jessica N Todd | Massage Therapist | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2018-05-07 |
| 1124446471 | Bryan Mccabe | Student in an Organized Health Care Education/Training Program | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2014-04-03 |
| 1508107939 | Jennifer Singleton | Massage Therapist | 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| 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 |
|---|---|---|---|---|
| 1114540622 | Rose Anna Brooks | Physical Therapist | 2345 Teller St, Lakewood, CO 80214-5823 | 2020-05-19 |
| 1457970493 | Movement Medicine Physical Therapy and Wellness Inc | Physical Therapist | 5913 Pepperwood Ave, Lakewood, CA 90712-1142 | 2020-04-09 |
| 1346873460 | Allied Professional Therapeutics and Rehabilitation, LLC | Physical Therapist | 3900 S Wadsworth Blvd Ste 310, Lakewood, CO 80235-2210 | 2020-02-17 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1306493002 | Lauren Virginia Theune | Physical Therapist | 12476 W Nevada Pl Apt 106, Lakewood, CO 80228-3251 | 2019-08-19 |
| 1508327610 | Jessica Erin Landau | Physical Therapist | 274 Union Blvd Ste 100, Lakewood, CO 80228-1836 | 2019-03-29 |
| 1043775935 | Jane Dumas | Physical Therapist | 9521 Gravelly Lake Dr Sw, Lakewood, WA 98499-1513 | 2019-02-05 |
| 1700373859 | Baruch Gottlieb | Physical Therapist | 12 Charming Way, Lakewood, NJ 08701-5450 | 2018-04-15 |
| 1043711815 | Adela Peratoner | Physical Therapist | 11316 Seaborn St, Lakewood, CA 90715-1130 | 2018-02-26 |
| 1831607076 | Ats Rehab Nj LLC | Physical Therapist | 111 Clifton Ave Ste 3, Lakewood, NJ 08701-3342 | 2018-01-22 |
| Find all providers in LAKEWOOD | ||||
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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.