STACY PROVOST (PT) – Physical Therapist, NPI 1265640684

STACY PROVOST (PT) is a healthcare provider. based in Fairview park, Ohio. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 01637 (OH). The NPI Number for STACY PROVOST (PT) is 1265640684

Main info

Female
Name
STACY PROVOST (PT)
NPI
1265640684
Phone
Not provided
Address
3935 W 229TH ST
Enumeration Date
18 May 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for STACY PROVOST (PT)

  • 3935, West 229th Street, Fairview Park, Cuyahoga County, Ohio, 44126, United States

    FAIRVIEW PARK, OH 441261041

    Phone:

    Type: Mailing

  • 26520, Center Ridge Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    WESTLAKE, OH 441454033

    Phone: (440) 871-3030

    Fax: (440) 899-3009

    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.

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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.

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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 44126)

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Reviews

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Frequently asked questions

Can I cross-check STACY PROVOST (PT) using NPI 1265640684?
NPI 1265640684 belongs to STACY PROVOST (PT); compare other details if you need extra assurance.
Is there an active status for STACY PROVOST (PT)?
For scheduling context, STACY PROVOST (PT) is shown as active in the registry.
What clinical focus is listed for STACY PROVOST (PT)?
At a glance, STACY PROVOST (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STACY PROVOST (PT)?
Travel planning: use Fairview Park, Ohio as the reference point for STACY PROVOST (PT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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