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NPI · 1104908029 · NPPES-sourced

Mrs. Stacy Wentworth Pt

ActivePhysical Therapist
NPI Number
1104908029
Type 1 · Individual
Taxonomy Code
225100000X
Contact
(585) 768-4550
License NY · 0229541
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-10-19
Primary practice addressNY · 14482
3 West AveLeroy, NY 14482
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Also known as

  • Formerly known asDefazio, Stacy Lynn

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1104908029 is registered to Mrs. Stacy Wentworth Pt, a Physical Therapist practising at 3 West Ave in Leroy, New York. Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Stacy Wentworth Pt has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-10-19
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mrs. Stacy Wentworth Pt accepts. To confirm in-network status with your specific health plan, contact Mrs. Stacy Wentworth Pt directly at (585) 768-4550.

Frequently asked

Yes. NPI 1104908029 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (585) 768-4550.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mrs. Stacy Wentworth Pt is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225100000X
Last updated2007-07
Enumerated2006-10-19
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Physical Therapist providers in New York.

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