STACEY BROOKE SPOON PT, DPT
NPI 1033585773
Physical Therapist - Pediatrics in Edna, TX

Active since August 17, 2015
1013 S WELLS ST, EDNA, TX 77957(361) 782-7898(361) 782-6317 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Brooke Spoon Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY BROOKE SPOON PT, DPT (NPI 1033585773) is an individual pediatrics provider in Edna, Texas, licensed in Texas (1264605) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1033585773
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameSTACEY BROOKE SPOONCredential: PT, DPT
Location Address1013 S WELLS STEdna, TX 77957-4045
Mailing AddressPo Box 3666Victoria, TX 77903-3666 · (361) 782-7898 · Fax (361) 782-6317
Fax(361) 782-6317
Sole ProprietorNo
Enumeration DateAugust 17, 2015
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
NPI 1033585773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in TX · 1264605
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

1013 S WELLS ST, Edna, TX 77957

Other Names 1

Former Name (1)Stacey Brooke Potter

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1013 S WELLS ST, A
EDNA, TX 77957
Nurse Practitioner
1013 S WELLS ST
EDNA, TX 77957
Nurse Practitioner (Family)
1013 S WELLS ST
EDNA, TX 77957
Clinic/Center (Ambulatory Surgical)
1013 S WELLS ST
EDNA, TX 77957
Physical Therapist
1013 S WELLS ST, ATTN: PHYSICAL THERAPY DEPT
EDNA, TX 77957
Nurse Practitioner (Family)
1013 S WELLS ST
EDNA, TX 77957
General Practice
1013 S WELLS ST
EDNA, TX 77957
Nurse Practitioner (Family)
1013 S WELLS ST
EDNA, TX 77957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Spoon's NPI number?

The NPI number for Stacey Spoon is 1033585773. It was assigned to this individual provider in the NPPES registry on August 17, 2015. The provider is also known as Stacey Brooke Potter.

Where is Stacey Spoon located?

Stacey Spoon practices at 1013 S Wells St, Edna, TX 77957. The listed phone number is (361) 782-7898.

What is Stacey Spoon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Stacey Spoon was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.