Stacy Michelle Sizemore, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R3019 Issued in KY

Practice address

329 Townepark Cir
100
Louisville, KY 40243-2348

Phone

(502) 254-9524

NPI assigned

Nov 22, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154496404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TOY CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296031",
            "telephone_number": "502-955-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 TOWNEPARK CIR",
            "address_2": "100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432348",
            "telephone_number": "502-254-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "STACY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "KYR3019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annica Yvette Sizemore, FNP
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• James Sizemore
• Kenneth Sizemore
• Ross Sizemore
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• Adam Skaff
• Allison Skaggs, MS, OTR/L
• Jessica Ann Skaggs, APRN
• Kendra Leigh Skaggs, NP

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• 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.