Stacey Martinelli

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6611 Issued in WI

Practice address

4772 Katella Ave
Suite 100
Los Alamitos, CA 90720-2600

Phone

(562) 430-8700

Fax

(562) 430-8760

NPI assigned

Jan 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hands on Hands Rehabilitation Center, Inc

  • Hand Occupational Therapist
  • Costa Mesa, CA
  • NPI 1821183070
  NPD

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1124440383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452006",
            "telephone_number": "262-781-3083",
            "fax_number": "262-781-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE",
            "address_2": "SUITE 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202600",
            "telephone_number": "562-430-8700",
            "fax_number": "562-430-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6611",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariasol Pena MD
• Marie Mbouni M.D a Medical Corporation
• Lisa Markouizos
• Paige Alexandra Marks, CADC I
• Zoe Martineau, BS, SLPA
• Jared Austin Martinez
• Mina Masri, D.O.
• Cheryl Macahilus Mateo, NP
• Carla Marie Matos, C-SLPA
• Roni Yoshiko Matsumoto, D.C.

• Occupational Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.