Stacey Mullis, OTR, ATP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2547 Issued in NC

Practice address

431 9TH St NW
Hickory, NC 28601-3523

Phone

(828) 238-2130

NPI assigned

Jan 21, 2013

Last updated

Jan 21, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Complex Rehab Solution

  • In Home Supportive Care Agency
  • Hickory, NC
  • NPI 1801230875
  NPD (past) Authorized official
• Complex Rehab Solutions, LLC

  • Home Health Agency
  • Hickory, NC
  • NPI 1508104688
  NPD (past) Authorized official

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1063750370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 9TH ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013523",
            "telephone_number": "828-238-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 9TH ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013523",
            "telephone_number": "828-238-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "STACEY",
        "credential": "OTR, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahira Mukhtar, BCBA
• Crystal Lail Mull, NNP
• Jason Alan Mull, PHARMD.
• Nicholas Mullins, DC
• Ashley Jo Mullis
• Aleyah Simone Murdock
• Ashley Murdock
• Chynna Kuy Murphy
• Robyn Lynne Murphy
• Stacey Murphy, ST

• Occupational Therapist in Hickory, NC
• Providers in Hickory, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.