Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan T Stacey

Individual provider Physical Therapist · NPI 1598081564

Jonathan T Stacey is a Physical Therapist in Private Practice in Baltimore, Maryland. Qualified in 2008, 18 years ago. Practices with Mosaddegh Physical Therapy Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
18
Licensed in
MD
In the registry since
2010
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Practice location Address checks out

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone: (410) 448-6323
Fax: (410) 448-6338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 22643 (MD)

Record details

NPI number1598081564
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2010
Last updated in NPPESApril 15, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mosaddegh Physical Therapy Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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