Active NPI
Stacy Padley
- Occupational Therapist
- Wyocena, WI
National Provider Identifier
1003276387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5603-26
- Practice address
- 323 W Monroe Street
Wyocena, WI 53969 - Phone
- (608) 429-2181
- NPI assigned
- Mar 1, 2016
- Last updated
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5603-26 | WI | Primary |
Addresses
Primary practice location
323 W Monroe Street
Wyocena, WI 53969
Mailing address
6886 Coyle Rd
Lodi, WI 53555-9503
Phone (608) 577-7034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5603-26 | WI | MD | Occupational Therapist |
| 5603 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1003276387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6886 COYLE RD",
"city": "LODI",
"state": "WI",
"postal_code": "535559503",
"telephone_number": "608-577-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W MONROE STREET",
"city": "WYOCENA",
"state": "WI",
"postal_code": "53969",
"telephone_number": "608-429-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADLEY",
"first_name": "STACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-01",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5603-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyocena, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.