Stacy A Free, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1713 Issued in AL

Practice address

6475 Van Buren St
Suite 102
Daphne, AL 36526-7585

Phone

(251) 626-9052

Fax

(251) 626-5384

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

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.

• Eastern Shore Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Daphne, AL
  • NPI 1700831666
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144239682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15244 TIMBER RIDGE DRIVE",
            "city": "LOXLEY",
            "state": "AL",
            "postal_code": "36551",
            "telephone_number": "251-964-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 VAN BUREN ST",
            "address_2": "SUITE 102",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267585",
            "telephone_number": "251-626-9052",
            "fax_number": "251-626-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "STACY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Paul Foster, DC
• Teresa D Foster, OTR/L
• Rebekah Ross Fowler, PT, DPT
• FPM Holdings LLC
• Franklins Enterprises, LLC
• John Thomas Fuller, IDHS
• Clarissa Gable
• Anna Gafford
• Susan Galberry, MS, LPC
• Daniel Phillip Gardner, FNP

• Occupational Therapist in Daphne, AL
• Providers in Daphne, AL by specialty
• Occupational Therapist in Alabama

• 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.