MRS. STACEE VICKERS P.T.
NPI 1386711067
Physical Therapist - Pediatrics in Lawrenceville, GA

Active since November 29, 2006
318 W PIKE ST, SUITE 104, LAWRENCEVILLE, GA 30045(678) 377-2833(678) 377-2882 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Stacee Vickers P.t. NPPES

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

MRS. STACEE VICKERS P.T. (NPI 1386711067) is an individual pediatrics provider in Lawrenceville, Georgia, licensed in Georgia (004817) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1386711067
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. STACEE VICKERSCredential: P.T.
Location Address318 W PIKE ST, SUITE 104Lawrenceville, GA 30045-3234
Mailing Address1092 Adah LnLawrenceville, GA 30043-7225 · (678) 618-9022
Fax(678) 377-2882
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1386711067 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 GA · 004817
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.

318 W PIKE ST, Lawrenceville, GA 30045

Other Identifiers 3

Medicaid00776993DGA
Other10037646GA · Amerigroup Provider #
Other307933GA · Wellcare Provider #

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.

Speech-Language Pathologist
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045
Speech-Language Pathologist
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045
Speech-Language Pathologist
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045
Occupational Therapist (Pediatrics)
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045
Speech-Language Pathologist
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045
Physical Therapist (Pediatrics)
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045
Speech-Language Pathologist
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045
Speech-Language Pathologist
318 W PIKE ST, SUITE 104
LAWRENCEVILLE, GA 30045

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 Stacee Vickers's NPI number?

The NPI number for Stacee Vickers is 1386711067. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Stacee Vickers located?

Stacee Vickers practices at 318 W Pike St Suite 104, Lawrenceville, GA 30045. The listed phone number is (678) 377-2833.

What is Stacee Vickers'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 Stacee Vickers was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.