NPI age
19 years
Enumerated 2006-11-29
● Active
Type 1 · Individual
MRS. Stacee Vickers, P.T.
Vickers is 1 of 25 physical therapist providers in Lawrenceville and 1 of 278 in Georgia.
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 278 active physical therapist providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
318 W Pike St, Suite 104
Lawrenceville, GA 300453234
Mailing address
1092 Adah Ln
Lawrenceville, GA 300437225
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 307933 | WELLCARE PROVIDER # |
| 05 (GA) | 00776993D | |
| 01 (GA) | 10037646 | AMERIGROUP PROVIDER # |
Practice context
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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