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

Stacey Yearian, PTA

Individual provider Physical Therapy Assistant · NPI 1790879161

Stacey Yearian, PTA is a Physical Therapy Assistant in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

540 Kingsley Ave
Orange Park, FL 32073-4847
Phone: (904) 264-2156
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 PTA20062 (FL)

Record details

NPI number1790879161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7704 Fawn Lake Dr S, Jacksonville, FL 32256-3692

Other providers in Orange Park