Stacey Bettcher Wilson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5036 Issued in MA

Practice address

320 Main St
West Newbury, MA 01985-1420

Phone

(978) 363-5553

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stacey Lynne Bettcher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1003093840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "address_2": "320 MAIN STREET",
            "city": "WEST NEWBURY",
            "state": "MA",
            "postal_code": "019850956",
            "telephone_number": "978-363-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "WEST NEWBURY",
            "state": "MA",
            "postal_code": "019851420",
            "telephone_number": "978-363-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STACEY",
        "middle_name": "BETTCHER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BETTCHER",
            "middle_name": "LYNNE",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Vojick
• K. Diane Waldron, MED, CAGS
• Eve White
• Heather Ann Widtfeldt, PT
• Farrah Willis-Goode, LCSW
• Pamela S Wool
• Deborah Wright-Lecius

• Pediatric Occupational Therapist in West Newbury, MA
• Providers in West Newbury, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.