Stasi'S Low Vision Therapy, LLC

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

License

2491 Issued in SC

Legal business name

STASI'S LOW VISION THERAPY, LLC

Practice address

602 Hidden Blvd
Mount Pleasant, SC 29464-8129

Phone

(843) 345-2769

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Stasi Ann Gormley, OTR

Title

Owner/Occupational Therapist

Phone

(843) 345-2769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Staci Gormley, OT

  • Occupational Therapist
  • Charleston, SC
  • NPI 1083626410
  Medicare reassignment

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1134493737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 HIDDEN BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648129",
            "telephone_number": "843-345-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HIDDEN BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648129",
            "telephone_number": "843-345-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STASI'S LOW VISION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "GORMLEY",
        "authorized_official_first_name": "STASI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "843-345-2769",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": "SC",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Low Vision Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Low Vision Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.