Stacy Oliveira
Physical Therapist in Enfield, CT. Individual provider (NPI-1).
NPI number1669916433
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1669916433
- Entity type
- Individual (NPI-1)
- Name
- Stacy Oliveira
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2016
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 011206 | CT | Yes |
| 225100000X | Physical Therapist | 24750 | MA |
Practice location
312 Hazard AveEnfield, CT 06082-4709
Phone 860-719-3030
Mailing address
312 Hazard AveEnfield, CT 06082-4709
Phone 860-719-3030
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 49 Physical Therapist providers in Enfield · All 1,220 providers in Enfield
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