STACIE LEE HAWORTH (NPI# 1528081007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528081007 |
| Entity Type | Individual |
| Full Name | STACIE LEE HAWORTH |
| Credential | M.P.T. |
| Practice Address |
1323 Creston Park Dr Janesville WI 53545-1126 |
| Mailing Address |
4412 Touchstone Dr Oneida WI 54155-8662 |
| Practice Telephone | 6087569440 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
9823-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1323 CRESTON PARK DR |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639584261 | Casey Marie Williams | Speech-Language Pathologist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2014-06-23 |
| 1528354578 | Kimberly J Smith | Speech-Language Pathologist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2011-06-28 |
| 1740594795 | Kathryn Nelson | Physical Therapist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2010-08-02 |
| 1023271285 | Melanie Marion Tavera | Speech-Language Pathologist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2008-07-08 |
| 1871693127 | Susan Louese Paras | Speech-Language Pathologist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2006-09-25 |
| 1669577904 | Kimberly May Kicera | Physical Therapist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2006-09-13 |
| 1306948120 | Betty Sue Lethlean | Speech-Language Pathologist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2006-09-02 |
| 1235231358 | Melissa R Matzke | Speech-Language Pathologist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2006-09-01 |
| 1275645368 | Donna Wilda Manthey | Occupational Therapist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2006-08-31 |
| 1376655480 | Amanda Sinkula | Occupational Therapist | 1323 Creston Park Dr, Janesville, WI 53545-1126 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447426929 | Developmental Steps By Fons | Physical Therapist | 4102 Foxwood Ct, Janesville, WI 53546-8887 | 2008-05-05 |
| 1659340578 | Teresa L Rauscher | Physical Therapist | 3901 Randolph Rd, Janesville, WI 53546-4015 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321124 | Victoria Ann Moerchen | Physical Therapist | 3409 N Downer Avenue, Uwm, Pavilion, Pt Suite, Rm 366, Milwaukee, WI 53211-2956 | 2014-06-17 |
| 1922368323 | Courtney Wilder | Physical Therapist | 1100 Commerce Drive Suite 114, Racine, WI 53406 | 2012-05-21 |
| 1467763508 | Douglas Litscher | Physical Therapist | 125 Monroe Ave, Rice Lake, WI 54868-3204 | 2010-06-23 |
| 1306163761 | Julie Collison | Physical Therapist | 1409 Swamp Rd, Green Bay, WI 54313-1475 | 2010-04-26 |
| 1821262700 | Patricia E Barina | Physical Therapist | 16185 Burleigh Pl, Brookfield, WI 53005-2851 | 2008-04-22 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1447421656 | Gail Ann May | Physical Therapist | 205 Lodi St, Lodi, WI 53555-1220 | 2008-03-14 |
| 1548450372 | Lori Dominiczak | Physical Therapist | 4002 W Cherrywood Ln, Brown Deer, WI 53209-1002 | 2007-07-27 |
| 1144410069 | Jill Marie Nelson | Physical Therapist | N10732 Newton Lake Rd, Athelstane, WI 54104-9629 | 2007-07-26 |
| 1215143524 | Debra R Reichl | Physical Therapist | Center for Blind and Visually Impaired Children, 5600 W Brown Deer Rd, Ste. 4, Milwaukee, WI 53223 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
Please comment or provide details below to improve the information on STACIE LEE HAWORTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.