Stacey Michelle Foley
Individual provider Active NPI Occupational Therapy Assistant · Rock Spring, GA
NPI 1124360185 · NPPES record last updated Mar 17, 2013
Key facts
- NPI
- 1124360185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 001273 (GA)
- Practice address
- 100 Autumn Crest TRL
Rock Spring, GA 30739-2095 - Phone
- (706) 375-1117
- NPI assigned
- Mar 17, 2013
- 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 |
|---|---|---|---|
| 1930 | TN | MD | Behavioral Analyst |
| 001273 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1930 | TN | |
| Occupational Therapy Assistant | 224Z00000X | 001273 | GA | Yes |
Addresses
Primary practice location
100 Autumn Crest TRL
Rock Spring, GA 30739-2095
Mailing address
100 Autumn Crest TRL
Rock Spring, GA 30739-2095
Phone (706) 375-1117
Other providers in Rock Spring, GA
- Andrew Besh
- Calvary Healthcare, Inc
- Stephen Brent Clark
- David Stephen Cofer
- Tara Michele Dennison
- Stacey Gilbreath
- Jennifer Nicole Hennon
- Highland Rivers Community Service Board
- Independent Physical Therapy of Ga, LLC
- Jimmy Simpson Foundation, Inc.
All providers in Rock Spring, GA · Occupational Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2013. 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.