Stacy L Mahaffey, OT
Individual provider Active NPI Occupational Therapist · Spartanburg, SC
NPI 1093804346 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093804346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1763 (SC)
- Practice address
- 1705 Skylyn Dr
Spartanburg, SC 29307-1077 - Phone
- (864) 582-6838
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1763 | SC | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1763 | SC | Yes |
Addresses
Primary practice location
1705 Skylyn Dr
Spartanburg, SC 29307-1077
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (610) 438-2020
Other names
- Stacy L Schroeder
Other providers in Spartanburg, SC
- Dawn Elizabeth Maddux
- Lauren Madison
- Maggie Gainey, PHD, LLC
- Leeann Elisabeth Magnuson
- Shelley Mahaffey
- Patricia Eller Mahan
- Nabil Mahmoud
- Philip A Mahoney Jr.
- Tracy Makison
- Jayleen Marie Malave Cartagena
All providers in Spartanburg, SC · Occupational Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.