STACY OLIVEIRA – Physical Therapist, NPI 1669916433

STACY OLIVEIRA is a healthcare provider. based in Enfield, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 24750 (MA). The NPI Number for STACY OLIVEIRA is 1669916433

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STACY OLIVEIRA
NPI
1669916433
Phone
(860) 719-3030
Address
312 HAZARD AVE
Enumeration Date
13 December 2016
Last Update Date
6 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607193030
Graduation Year
2016 (10 years ago)
PAC ID
1355621921
Professional Enrollment ID
I20161219000423
Address ID
CT060824709EN312XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for STACY OLIVEIRA

  • 312 HAZARD AVE

    ENFIELD, CT 060824709

    Phone: (860) 719-3030

    Type: Mailing

  • 286, Brainard Road, Shaker Pines, Enfield, Hartford County, Connecticut, 06082, United States

    ENFIELD, CT 060822703

    Phone: (774) 488-4007

    Type: Mailing

  • North Rd, West Windsor, Windsor Town, Broome County, New York, 13795, United States

    EAST WINDSOR, CT 060889516

    Phone: (774) 488-4007

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161219000423IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06082)

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Reviews

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Frequently asked questions

Is STACY OLIVEIRA listed with a National Provider Identifier?
Yes — STACY OLIVEIRA has NPI 1669916433 on file in the registry.
Is STACY OLIVEIRA still an active registrant?
STACY OLIVEIRA carries an active NPI according to the public dataset.
What kind of doctor is STACY OLIVEIRA?
STACY OLIVEIRA is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is STACY OLIVEIRA associated with Enfield?
Public fields place STACY OLIVEIRA around Enfield, Connecticut. Always confirm the exact site before visiting.
Does STACY OLIVEIRA accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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