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

Mr. Stacey Wade Gann, LPTA

Individual provider Physical Therapy Assistant · NPI 1568906014

Mr. Stacey Wade Gann, LPTA is a Physical Therapy Assistant in Mountain Brk, Alabama. Licensed in Alabama. Registered with an NPI since 2016.

Licensed in
AL
In the registry since
2016

Practice location Address checks out

201 Ofc Park DR Ste 150
Mountain Brk, AL 35223-2400
Phone: (205) 879-6447
Fax: (205) 278-2299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA8197 (AL)

Record details

NPI number1568906014
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedDecember 16, 2016
Last updated in NPPESDecember 16, 2016

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