Stacey Diann Childers-Teeple, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2001033005 Issued in MO

Practice address

1480 8TH St
West Plains, MO 65775-2010

Phone

(417) 256-5669

Fax

(417) 256-5699

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Chase Johnson DC, LLC

  • Chiropractor
  • West Plains, MO
  • NPI 1306284534
  NPD (past)
• Physical Therapy Specialist Clinic, Inc.

  • Physical Therapist
  • West Plains, MO
  • NPI 1659312619

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124051495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2445",
            "city": "DORA",
            "state": "MO",
            "postal_code": "656379306",
            "telephone_number": "417-261-2210",
            "fax_number": "417-261-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 8TH ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752010",
            "telephone_number": "417-256-5669",
            "fax_number": "417-256-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS-TEEPLE",
        "first_name": "STACEY",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001033005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Chaney
• Patricia Chapin, RPH
• Tiffany Nicole Chaplin, RN
• Chase Johnson DC, LLC
• George Fuller Cherry, M.A. CCC-SLP
• Children'S Behavioral Services, LLC
• Martha Ann Cisco
• Cody James Clark
• Melissa Clark, MCD, CCC-SLP
• Paul Graham Clark

• Occupational Therapist in West Plains, MO
• Providers in West Plains, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.