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STACEY MICHELE PHILLIPS MS, PT
NPI 1053558494
Physical Therapist - Pediatrics in Fayetteville, AR

Active since January 07, 2009
46 W COLT SQUARE DR, FAYETTEVILLE, AR 72703(479) 582-2740(479) 582-2746 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Michele Phillips Ms, Pt NPPES

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

STACEY MICHELE PHILLIPS MS, PT (NPI 1053558494) is an individual pediatrics provider in Fayetteville, Arkansas, licensed in Arkansas (PT 2212) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1053558494
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameSTACEY MICHELE PHILLIPSCredential: MS, PT
Location Address46 W COLT SQUARE DRFayetteville, AR 72703-2813
Mailing Address46 W Colt Square DrFayetteville, AR 72703-2813 · (479) 582-2740 · Fax (479) 582-2746
Phone(479) 582-2740
Fax(479) 582-2746
Sole ProprietorNo
Enumeration DateJanuary 7, 2009
✔ NPI 1053558494 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 AR · PT 2212
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.
46 W COLT SQUARE DR, Fayetteville, AR 72703
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Other Identifiers 1

Medicaid135927721AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MRS. KRISTY KAY BURNETT M.S. CCC/SLP
Speech-Language Pathologist
46 W COLT SQUARE DR
FAYETTEVILLE, AR 72703
Washington County (479) 582-2740
TARAH NICOLE HOLMAN OTR/L
Occupational Therapist (Pediatrics)
46 W COLT SQUARE DR
FAYETTEVILLE, AR 72703
Washington County (479) 582-2740
LYNN ANN TIERNEY OTR/L
Occupational Therapist (Pediatrics)
46 W COLT SQUARE DR
FAYETTEVILLE, AR 72703
Washington County (479) 582-2740
RUTH NICHOLS JEFFRIES OTR/L
Occupational Therapist
46 W COLT SQUARE DR
FAYETTEVILLE, AR 72703
Washington County (479) 582-2740

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 Phillips's NPI number?

The NPI number for Stacey Phillips is 1053558494. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Stacey Phillips located?

Stacey Phillips practices at 46 W Colt Square Dr, Fayetteville, AR 72703. The listed phone number is (479) 582-2740.

What is Stacey Phillips's specialty?

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

What insurance does Stacey Phillips accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Stacey Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Phillips was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.