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

Mrs. Stacey Marie Boster, MS, PT

Individual provider Physical Therapist · NPI 1053319715

Mrs. Stacey Marie Boster, MS, PT is registered under Physical Therapist in Private Practice in Russellville, Arkansas. Qualified in 2002, 24 years ago. Practices with Lane Physical Therapy Center, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
24
Licensed in
AR
In the registry since
2005
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3016 W Main St Ste 200
Russellville, AR 72801 Not confirmed with CMS for 15 years — call before visiting
Phone: (479) 967-9657
Fax: (479) 967-9658
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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 PT2554 (AR)

Record details

NPI number1053319715
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESSeptember 28, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lane Physical Therapy Center, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients81
Services billed 1,854 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Lane Physical Therapy Center, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Russellville