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

Stacy Lynn Macdonald, PT

Individual provider Physical Therapist · NPI 1720836166

Stacy Lynn Macdonald, PT is a Physical Therapist in Private Practice in Camillus, New York. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4914 W Genesee St Ste 127
Camillus, NY 13031-2378
Phone: (315) 313-5970
Fax: (315) 928-1832
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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 052172 (NY)

Record details

NPI number1720836166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 9, 2024
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address4914 W Genesee St Ste 127, Camillus, NY 13031-2378

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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