Stacy Peters, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6411 Issued in SC

Practice address

204 Shady Pines CT
Fountain Inn, SC 29644-9785

Phone

(864) 408-9509

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Ester-Ellen Jones Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689

  Occupational Therapist

  Medicare reassignment NPD
• Northern Tides Speech and Language L.L.C.

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1750788410

  Occupational Therapist

  Medicare reassignment NPD
• Heaton Pediatric Therapy Inc.

  • Occupational Therapist
  • Fountain Inn, SC
  • NPI 1700255056
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1033855176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441054",
            "telephone_number": "864-408-9509",
            "fax_number": "864-335-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHADY PINES CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449785",
            "telephone_number": "864-408-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "STACY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "JONES",
            "middle_name": "ESTER-ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Riya Patel, OTR/L
• Pathways Pediatric Therapy, LLC
• Warren Patrick Perez Perez
• Kimberly Deane Perry, LISW-CP
• Personal Therapy Inc
• Trela Rene Peters
• Christina M. Poole
• Taylor Price, COTA/L
• Prisma Health-Upstate (Prisma Health Primary Care Fountain Inn)
• Prisma Health-Upstate (Prisma Health Primary Care Fountain Inn)

• Occupational Therapist in Fountain Inn, SC
• Providers in Fountain Inn, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.