Individual provider Active NPI

Stcy Grieshaber, OTR/L

  • Occupational Therapist
  • La Grange, KY
National Provider Identifier
1164810982
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R2526 Issued in KY
Practice address
1031 Shore Line Dr
La Grange, KY 40031-1385
Phone
(502) 727-9169
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R2526 KY Primary
Occupational Therapist 225X00000X 31003443A IN

Addresses

Primary practice location

1031 Shore Line Dr
La Grange, KY 40031-1385

Mailing address

1031 Shore Line Dr
La Grange, KY 40031-1385
Phone (502) 727-9169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31003443AINMDOccupational Therapist
R2526KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1164810982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SHORE LINE DR",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311385",
            "telephone_number": "502-727-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 SHORE LINE DR",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311385",
            "telephone_number": "502-727-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHABER",
        "first_name": "STCY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2526",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003443A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.