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

Individual provider Physical Therapy Assistant · NPI 1861120701

Stacy Pietro is a Physical Therapy Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and Hawaii.

Licensed in
AZ, HI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1111 E McDowell Rd Fl 11
Phoenix, AZ 85006-2612
Phone: (480) 564-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 008923 (AZ)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA-636-0 (HI)

Record details

NPI number1861120701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address4728 N 15th St Apt 158, Phoenix, AZ 85014-3724

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