STACEY L SCANLAN (PT) – Physical Therapist, NPI 1689756603

STACEY L SCANLAN (PT) is a healthcare provider. based in Boise, Idaho. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT1355 (ID). The NPI Number for STACEY L SCANLAN (PT) is 1689756603

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
STACEY L SCANLAN (PT)
NPI
1689756603
Phone
(208) 344-0730
Address
2302 N BOGUS BASIN ROAD
Enumeration Date
19 October 2006
Last Update Date
7 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083440737
Graduation Year
1998 (28 years ago)
PAC ID
9335140763
Group Practice PAC ID
4486705217
Professional Enrollment ID
I20070126000441
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for STACEY L SCANLAN (PT)

  • 2302, North Bogus Basin Road, North End, Boise, Ada County, Idaho, 83702, United States

    SUITE C

    BOISE, ID 83702

    Phone: (208) 344-0730

    Fax: (208) 344-0759

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 83702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486705217View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeID

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Frequently asked questions

What is STACEY L SCANLAN (PT)'s NPI number?
STACEY L SCANLAN (PT)'s NPI is 1689756603 — the number used across U.S. healthcare to identify this provider.
Would STACEY L SCANLAN (PT) appear as active to a payer?
You can treat STACEY L SCANLAN (PT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with STACEY L SCANLAN (PT)?
STACEY L SCANLAN (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Idaho is STACEY L SCANLAN (PT) registered?
Use Boise, Idaho as the headline location for STACEY L SCANLAN (PT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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