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

Stacy Wayne Green, PTA

Individual provider Physical Therapy Assistant · NPI 1568937050

Stacy Wayne Green, PTA is a Physical Therapy Assistant in Gainesville, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
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

1907 Refinery Rd
Gainesville, TX 76240-2111
Phone: (940) 665-9314
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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 2125935 (TX)

Record details

NPI number1568937050
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018
Mailing address6220 Deer Run Rd, Sanger, TX 76266-8211

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