STACEY LEE FLEETWOOD (NPI# 1538294772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538294772 |
| Entity Type | Individual |
| Full Name | STACEY LEE FLEETWOOD |
| Credential | MSPT |
| Practice Address |
4911 State Ave Kansas City KS 66102-1749 |
| Practice Telephone | 9132878851 |
| Mailing Telephone | 9132878851 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2004009998 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 11-02852 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | STATE LICENSE | 11-02852 | 01 |
| MO | STATE LICENSE | 2004009998 | 01 |
| Street Address |
4911 STATE AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851303382 | Jane Christine Kerr | Occupational Therapist | 4911 State Ave, Kansas City, KS 66102-1749 | 2006-08-13 |
| 1518220326 | Wyandotte Comprehensive Special Education Coop Infant Toddler Division | Early Intervention Provider Agency | 4911 State Ave, Kansas City, KS 66102-1749 | 2012-06-18 |
| 1558660688 | Carol Elaine Jespersen | Registered Nurse | 4911 State Ave, Kansas City, KS 66102-1749 | 2011-03-15 |
| 1578867180 | Erin Cathleen Landau | Occupational Therapist | 4911 State Ave, Kansas City, KS 66102-1749 | 2010-12-23 |
| 1689984064 | Tina Marie Allen | Social Worker | 4911 State Ave, Kansas City, KS 66102-1749 | 2010-10-19 |
| 1619296365 | Jill C Goodheart | Speech-Language Pathologist | 4911 State Ave, Kansas City, KS 66102-1749 | 2010-05-20 |
| 1235465097 | Wilma Jean Christensen | Case Manager/Care Coordinator | 4911 State Ave, Kansas City, KS 66102-1749 | 2009-10-28 |
| 1538309232 | Denika Owens | Registered Nurse | 4911 State Ave, Kansas City, KS 66102-1749 | 2009-02-20 |
| 1639366222 | Brooke Alison Peters | Occupational Therapist | 4911 State Ave, Kansas City, KS 66102-1749 | 2007-09-27 |
| 1770617656 | Eva Leah Kephart | Speech-Language Pathologist | 4911 State Ave, Kansas City, KS 66102-1749 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| 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 |
|---|---|---|---|---|
| 1174139778 | Nicole Weaver | Physical Therapist | 5775 Nw 64th Ter Ste 101, Kansas City, MO 64151-3945 | 2020-09-18 |
| 1649883869 | Jena Marie Brophy | Physical Therapist | 2 Emanuel Cleaver II Blvd, Kansas City, MO 64112-1654 | 2020-08-27 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1689296865 | Bethany Peterson | Physical Therapist | 701 E 63rd St Ste G10, Kansas City, MO 64110-3305 | 2020-05-11 |
| 1821620857 | Max Powers | Physical Therapist | 6311 N Cosby Ave, Kansas City, MO 64151-2344 | 2020-02-07 |
| 1316587884 | Abdalghani A Yahya | Physical Therapist | 4148 Booth Pl Apt 1, Kansas City, KS 66103-3151 | 2020-01-13 |
| 1861033888 | Athletico Ltd | Physical Therapist | 4029 Mill St, Kansas City, MO 64111-3008 | 2019-10-01 |
| 1073161675 | Erica Pruett | Physical Therapist | 601 E 63rd St Ste 230, Kansas City, MO 64110-3303 | 2019-08-28 |
| 1043862329 | Khoa Lam | Physical Therapist | 3514 Jefferson St # St307, Kansas City, MO 64111-2803 | 2019-07-16 |
| 1912464199 | Christie Peterfish | Physical Therapist | 4400 Broadway Ste 408, Kansas City, MO 64111-3342 | 2019-02-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66102 |
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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.