Individual provider Active NPI

Stacy Lee Meriwether, OTR/L

  • Occupational Therapist
  • Palm Bay, FL
National Provider Identifier
1043929268
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23669 Issued in FL
Practice address
398 Abello Rd SE
Palm Bay, FL 32909-8864
Phone
(321) 749-0921
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT23669 FL Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

398 Abello Rd SE
Palm Bay, FL 32909-8864

Mailing address

398 Abello Rd SE
Palm Bay, FL 32909-8864
Phone (321) 362-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228002299 FL Practitioner - Occupational Therapist in Private Practice 6204286578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Treatment by Design, LLC Occupational Therapist CurrentSince Dec 28, 2022 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Clinic/Center CurrentSince Dec 18, 2023 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Clinic/Center Current Accepting new patients
Premier Physical Therapy & Sports Medicine CurrentSince Dec 18, 2023 Accepting new patients
JMS Speech Therapy Services Inc Occupational Therapist PastSince Nov 1, 2022 Accepting new patients

Locations

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1043929268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 ABELLO RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098864",
            "telephone_number": "321-362-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 ABELLO RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098864",
            "telephone_number": "321-749-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIWETHER",
        "first_name": "STACY",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23669",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.