Stacey Nicole Vieyra-Braendle, OTD, OTR/L, MT-BC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

442059 Issued in OR

Practice address

525 Trade St SE
Salem, OR 97301-3720

Phone

(800) 863-5241

NPI assigned

Jun 25, 2012

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premere Rehab LLCGroup PAC ID 2567434764, 12 clinicians

Practice addresses (Care Compare)

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.

• Premere Rehab LLC

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1245278639

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1134483134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3183 D ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012878",
            "telephone_number": "480-529-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TRADE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013720",
            "telephone_number": "800-863-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEYRA-BRAENDLE",
        "first_name": "STACEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "442059",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Haneberg Ma LPC LLC
• Vida Family Medicine
• Vida Family Medicine, LLC
• Jacob Thomas Vida
• Gary W Viehdorfer, LMT
• Savannah Vigue
• Danielle Vijil, LMHC, SUDP, LPC
• Ana Vilches-Abades, CSWA
• Milton Armando Villalobos, FNP-C
• Kristine A Villanueva, LCSW

• Occupational Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.