Individual provider Active NPI

Stacie McNett, OTR

  • Occupational Therapist
  • North Tonawanda, NY
National Provider Identifier
1194020768
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024001 Issued in NY
Practice address
5205 Oakwood Dr
North Tonawanda, NY 14120-9618
Phone
(716) 625-4002
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 007181 NY
Occupational Therapist 225X00000X 024001 NY Primary

Addresses

Primary practice location

5205 Oakwood Dr
North Tonawanda, NY 14120-9618

Mailing address

234 Oakridge Ave
Tonawanda, NY 14217-1165
Phone (716) 909-8910

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Beginnings Therapy Services OT PLLC PastSince Sep 25, 2019 Accepting new patients
Children'S Creative Therapies PastSince Sep 25, 2019 Accepting new patients
Optimal Occupational and Physical Therapy Associates Services PLLC Occupational Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1194020768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 OAKRIDGE AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171165",
            "telephone_number": "716-909-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 OAKWOOD DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209618",
            "telephone_number": "716-625-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNETT",
        "first_name": "STACIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007181",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.