STACEY ELAINE RICHARDS (PT) – Physical Therapist, NPI 1962485821

STACEY ELAINE RICHARDS (PT) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT00009113 (WA). The NPI Number for STACEY ELAINE RICHARDS (PT) is 1962485821

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
STACEY ELAINE RICHARDS (PT)
NPI
1962485821
Phone
(800) 219-8835
Address
11481 SW HALL BLVD
Enumeration Date
23 November 2005
Last Update Date
4 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092996900
Graduation Year
2002 (24 years ago)
PAC ID
7810024064
Group Practice PAC ID
2567464696
Professional Enrollment ID
I20100421000130
Address ID
WA990228940ME731XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for STACEY ELAINE RICHARDS (PT)

  • Portland Hindu Temple, 11515, Southwest Hall Boulevard, Greenburg Road, Tigard, Washington County, Oregon, 97223, United States

    STE 201

    PORTLAND, OR 972238403

    Phone: (800) 219-8835

    Fax: (503) 443-1402

    Type: Mailing

  • 1005, North Evergreen Road, Spokane Valley, Spokane County, Washington, 99216, United States

    SUITE 010

    SPOKANE VALLEY, WA 992161485

    Phone: (509) 926-5367

    Fax: (509) 928-5508

    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: 2010-04-21

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
I20100421000130IPhysical Therapist In Private PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes69128$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes59030$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14723$0
97530Therapy procedure using functional activities9720$0
97161Evaluation for physical therapy, typically 20 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 97223)

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Provider's Procedures

STACEY ELAINE RICHARDS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97001Physical therapy evaluation2120

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: 2567464696View full group profile
NameSpecialtyState
C H I R O P R A C T I CCA
-WA
C H I R O P R A C T I CCA
Family PracticeWA
Nurse PractitionerWA
C H I R O P R A C T I CWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerID
Nurse PractitionerWA

Reviews

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Frequently asked questions

What federal number belongs to STACEY ELAINE RICHARDS (PT)?
The federal identifier for STACEY ELAINE RICHARDS (PT) is NPI 1962485821.
Does this profile mean STACEY ELAINE RICHARDS (PT) is currently active?
Yes — STACEY ELAINE RICHARDS (PT) appears active in the national provider directory.
What field does STACEY ELAINE RICHARDS (PT) work in?
You can think of STACEY ELAINE RICHARDS (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place STACEY ELAINE RICHARDS (PT)?
The snapshot lists Portland, Oregon for STACEY ELAINE RICHARDS (PT); download NPPES for the complete set.
How can I contact STACEY ELAINE RICHARDS (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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