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

Individual provider Physical Therapist · NPI 1154550481

Stacy Pineda, PT is a Physical Therapist in Private Practice in Wenham, Massachusetts. Qualified in 2004, 22 years ago. Practices with Gordon College, an 11-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Massachusetts.

Years since qualifying
22
Licensed in
DC, MA
In the registry since
2009
Specialties on file
2
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

255 Grapevine Rd
Wenham, MA 01984-1813
Phone: (978) 867-4095
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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 21968 (MA)
Physical Therapist Taxonomy 225100000X (DC)

Record details

NPI number1154550481
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 8, 2009
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address255 Grapevine Rd, Wenham, MA 01984-1813

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Gordon College — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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