Stacy L Reese, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP003186L Issued in PA

Practice address

20 Lottie LN
New Oxford, PA 17350-8458

Phone

(717) 624-1423

NPI assigned

May 17, 2016

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1194172460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LOTTIE LN",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173508458",
            "telephone_number": "717-624-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LOTTIE LN",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173508458",
            "telephone_number": "717-624-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP003186L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA/L NPI",
            "identifier": "OP003186L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Pivirotto, PT
• Kelsey Louise Plum, PTA
• Proactive MD Penn PC
• Anne D. Quinn, M.D.
• Krista L Rafferty, PA
• Rite Aid of Pennsylvania LLC
• Ashleigh Robertson
• Timothy John Rooney, BC-HIS
• Logan Stephanie Ross, MSW, LMSW
• Matthew Rupp

• Occupational Therapy Assistant in New Oxford, PA
• Providers in New Oxford, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.