STACY R GOOD (DPT) – Physical Therapist, NPI 1326274630

STACY R GOOD (DPT) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070017434 (IL). The NPI Number for STACY R GOOD (DPT) is 1326274630

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
STACY R GOOD (DPT)
NPI
1326274630
Phone
(312) 640-0329
Address
205 W WACKER DR
Enumeration Date
2 June 2009
Last Update Date
27 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8445027996
Graduation Year
2009 (17 years ago)
PAC ID
4486801966
Group Practice PAC ID
9830504836
Professional Enrollment ID
I20120906000404
Address ID
IL622201055BE1021XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for STACY R GOOD (DPT)

  • Engineering Building, 205, West Upper Wacker Drive, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60606, United States

    SUITE 1020

    CHICAGO, IL 606061216

    Phone: (312) 640-0329

    Type: Mailing

  • 3291, Court Street, Pekin Heights, Pekin, Tazewell County, Illinois, 61554, United States

    PEKIN, IL 615546208

    Phone: (309) 347-0090

    Fax: (309) 347-0098

    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: 2012-09-06

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
I20120906000404IPhysical Therapist In Private PracticeILTBD

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 60606)

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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: 9830504836View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeKS
Qualified Speech Language PathologistMO
Family PracticeMO
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistNE
Qualified Speech Language PathologistIL

Reviews

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Frequently asked questions

What number should I use to identify STACY R GOOD (DPT) for billing?
Administrative and clinical systems typically use NPI 1326274630 for STACY R GOOD (DPT).
Does the public listing show STACY R GOOD (DPT) as active?
STACY R GOOD (DPT)'s NPI record reflects an active status in NPPES.
How should patients interpret STACY R GOOD (DPT)'s specialty?
The extract shows Physical Therapist for STACY R GOOD (DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to STACY R GOOD (DPT)?
STACY R GOOD (DPT) is associated with Chicago, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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