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

Individual provider Physical Therapy Assistant · NPI 1770971699

Stacey Gore, PTA is a Physical Therapy Assistant in Jacksonville, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

26 Ofc Park DR
Jacksonville, NC 28546-7325
Phone: (910) 577-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1720 Parkwood Blvd W, Wilson, NC 27893-2167 — (252) 206-0990

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A2938 (NC)

Record details

NPI number1770971699
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 30, 2014
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address251 Marsh Haven Dr, Sneads Ferry, NC 28460-7549

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