Stacey Marie Boster, MS,PT
NPI 1053319715ActiveIndividual· Physical Therapist· Russellville, AR
Physical Therapist (MS,PT) with Lane Physical Therapy Center, Inc, practicing in Russellville, Arkansas. Medicare paid $34,013 for services to 81 patients in 2024.
Overview
| NPI | 1053319715 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS,PT |
| Sole proprietor | No |
| NPI issued | Jul 7, 2005 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT2554 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 1,854 across 10 procedure codes |
| Paid by Medicare | $34,013 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Lane Physical Therapy Center, IncRussellville, AR · 4 clinicians
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