DR. MARY JEAN STACK (NPI# 1508262734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508262734 |
| Entity Type | Individual |
| Full Name | DR. MARY JEAN STACK |
| Credential | DPT |
| Practice Address |
766 Walker Rd Ste B Great Falls VA 22066-2650 |
| Practice Telephone | 2023491030 |
| Practice Fax Number | 7033645124 |
| Mailing Telephone | 2023491030 |
| Mailing Fax Number | 7033645124 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2305212350 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | LICENSE | PT872017 | 01 |
| NPI | 1508262734 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 H St Nw Ste Ll110, Washington, DC 200055476 | (202) 347-2373 | 2023472375 |
| Street Address |
766 WALKER RD STE B |
| City | GREAT FALLS |
| State | VA |
| Zip Code | 22066-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114214582 | Sarah E Bellman | Physical Therapist | 766 Walker Rd Ste B, Great Falls, VA 22066 | 2011-07-06 |
| 1497304976 | Great Falls Physical Therapy LLC | Physical Therapist | 766 Walker Rd Ste B, Great Falls, VA 22066-2650 | 2019-09-08 |
| 1043588932 | Jaison William Alderman | Physical Medicine & Rehabilitation | 766 Walker Rd Ste B, Great Falls, VA 22066-2650 | 2011-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291256 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1020 Seneca Road, Great Falls, VA 22066 | 2018-07-10 |
| 1427408020 | Brightview Great Falls, LLC | Alzheimer Center (Dementia Center) | 10200 Colvin Run Road, Great Falls, VA 22066 | 2016-06-15 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1700178316 | Farzad Davoudian | Psychiatry & Neurology | 1025 Riva Ridge Dr, Great Falls, VA 22066 | 2011-05-15 |
| 1407162019 | William E Bylund | Emergency Medicine | 327 Canterwood Ln, Great Falls, VA 22066 | 2010-08-20 |
| 1043465974 | Austin Leigh Giunta Churchill | Physical Medicine & Rehabilitation | 746 Walker Rd Ste 12, Great Falls, VA 22066 | 2008-11-19 |
| 1295906766 | Hwi Y Suh | Psychiatry & Neurology | 9811 Thunderhill Ct, Great Falls, VA 22066 | 2008-03-12 |
| 1033244249 | Nahid Ghassemi | Nursing Facility/Intermediate Care Facility | 10130b Colvin Run Rd., Great Falls, VA 22066 | 2007-02-21 |
| 1972608578 | Debra Anne Zeh | Pediatrics | 10134 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| 1811092414 | Manuel Guillen | Allergy & Immunology | 101 34 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| Find all providers in zip 22066 | ||||
| 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 |
|---|---|---|---|---|
| 1790306892 | Northern Lights Physical Therapy and Wellness Inc | Physical Therapist | 320 37th Ave Ne, Great Falls, MT 59404-4230 | 2020-04-29 |
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1912409087 | Nathan Emmanuel Gilmor | Physical Therapist | 3513 Fairway Dr, Great Falls, MT 59401-2271 | 2018-03-05 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1003368663 | Ace Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | 10123 Colvin Run Rd, Great Falls, VA 22066-1873 | 2016-10-31 |
| 1801258652 | Brittany Mooney | Physical Therapist | 900 2nd St S, Great Falls, MT 59405-4014 | 2016-03-22 |
| 1427421551 | Tina Jo Woldtvedt | Physical Therapist | 1205 43rd St S, Great Falls, MT 59405-8024 | 2015-11-11 |
| 1033484084 | Nicole Lynn Herda | Physical Therapist | 2900 10th Ave S, Great Falls, MT 59405-3243 | 2012-03-08 |
| 1083996284 | Dagni Gleason | Physical Therapist | 2926 6th Ave N, Great Falls, MT 59401-2110 | 2011-09-13 |
| 1184905523 | Heidi Tabibian | Physical Therapist | 11575 Seneca Hill Ct, Great Falls, VA 22066-1366 | 2011-08-30 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 22066 |
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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.