Stac Ventures, Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

STAC VENTURES, INC.

Practice address

1620 Silver LN
Aubrey, TX 76227-1623

Phone

(512) 318-4381

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

James Michael Clark

Title

President

Phone

(512) 318-4381

Specialties & licenses 1

Addresses

Other names 1

• PEDI Telehealth Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arial Cruz

  • Behavior Technician
  • Lubbock, TX
  • NPI 1003674383
  NPD

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1073140687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SILVER LN",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271623",
            "telephone_number": "512-318-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SILVER LN",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271623",
            "telephone_number": "512-318-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAC VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-318-4381"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDI Telehealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Solerisa Smith
• Solid Rock Healthcare LLC
• Ella Solomon, PA
• Sovereign Hospice Inc
• Springhill Medical & Aesthetics, LLC
• Star Smiles PLLC
• Rebecca Starnes
• Stillcare Services LLC
• Melanie Lou Stolfus, MS, LPC
• Aisha Shani Stone Corr, DNP. RN. DCES, CCM

• Pediatric Occupational Therapist in Aubrey, TX
• Providers in Aubrey, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.