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STACY D SANDERS PT
NPI 1063468767
Physical Therapist - Orthopedic in Woodbury, MN

Active since May 25, 2006Accepts Medicare Assignment
2090 WOODWINDS DR, WOODBURY, MN 55125(651) 968-5801(651) 968-5899 Get Directions Write a Review

NPPES record last updated: September 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacy D Sanders Pt NPPES

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

STACY D SANDERS PT (NPI 1063468767) is an individual orthopedic provider in Woodbury, Minnesota, licensed in Minnesota (7341) and active in the NPI registry since May 2006. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1063468767
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameSTACY D SANDERSCredential: PT
Location Address2090 WOODWINDS DRWoodbury, MN 55125-2522
Mailing Address710 Commerce Dr Ste 200, 200Woodbury, MN 55125-4925 · (651) 968-5042 · Fax (651) 968-5904
Phone(651) 968-5801
Fax(651) 968-5899
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 7, 2017
✔ NPI 1063468767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MN · 7341
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2090 WOODWINDS DR, Woodbury, MN 55125
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Other Names 1

Former Name (1)Stacy D Eck

Other Identifiers 3

Other650001460MN · Medicare
Medicaid1063468767MN
OtherP00326353MN · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy D Sanders Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567473606
PECOS Enrollment IDI20060605000232

Medicare Billing Reassignment

Medicare enrollment records show Stacy Sanders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Orthopedics, Ltd
3.7 mi
Orthopaedic Surgery
710 COMMERCE DR STE 200
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 197 clinicians in this Medicare group
NPI 1306899463 (651) 968-5042

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
518 services61 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
186 services25 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
36 services31 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
20 services11 patients

Other Providers at the Same Location NPPES 20

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

ABBY J ROSS PA-C
Physician Assistant (Surgical)
2090 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 968-5201
KELSEY LYNN STEVENS
Physician Assistant
2090 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 968-5200
ALLISON COLE PA-C
Physician Assistant
2090 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 968-5201
LARRY S STERN MD
Orthopaedic Surgery
2090 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 968-5801
EMILY ANNE RICHLEN
Physical Therapist
2090 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 968-5201
PAUL T YELLIN MD
Orthopaedic Surgery
2090 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 968-5801
MARK E HOLM MD
Orthopaedic Surgery
2090 WOODWINDS DR, SUITE 307
WOODBURY, MN 55125
Washington County (651) 968-5801
BLAKE S. LUNA PA-C
Physician Assistant
2090 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 968-5201

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 Stacy Sanders's NPI number?

The NPI number for Stacy Sanders is 1063468767. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Stacy D Eck.

Where is Stacy Sanders located?

Stacy Sanders practices at 2090 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 968-5801.

What is Stacy Sanders's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Stacy Sanders enrolled in Medicare?

Yes. Stacy Sanders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stacy Sanders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Sanders reassigns Medicare benefits to Summit Orthopedics, Ltd (Woodbury, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Sanders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Sanders was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.