Mary Jean Stack, DPT
NPI 1508262734ActiveIndividual· Physical Therapist· Great Falls, VA
Physical Therapist (DPT) with Great Falls Physical Therapy LLC, practicing in Great Falls, Virginia. Medicare paid $18,867 for services to 21 patients in 2024.
Overview
| NPI | 1508262734 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 17, 2014 |
| Last updated in NPPES | Jun 4, 2026 |
| Certified by provider | Jun 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2305212350 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (DC) |
|---|---|
| Accepts assignment | No (non-participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 918 across 6 procedure codes |
| Paid by Medicare | $18,867 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Great Falls Physical Therapy LLCGreat Falls, VA · 8 clinicians
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