Active NPI
Amanda Nicole Stacey, MSOTR/L
- Occupational Therapist
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3077
- Practice address
- 870 Oak Meadow Dr
Franklin, TN 37064 - Phone
- (615) 721-5439
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3077 | ME | Primary |
Addresses
Primary practice location
870 Oak Meadow Dr
Franklin, TN 37064
Mailing address
9101 Wesleyan Rd Ste 100
Indianapolis, IN 46268-3103
Phone (800) 603-6046
Other practice location 1
2263 Route 2
Hermon, ME 04401-0605
Phone (207) 848-9009
Other practice location 2
2263 Route 2
Hermon, ME 04401-0605
Phone (207) 848-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.13 of 100
- Quality
- 82.29
- Improvement activities
- 40
- Cost
- 59.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3077 | ME | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TX: Team Rehab Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
9101 Wesleyan Rd
Ste 100
Indianapolis, IN 46268
Phone (843) 873-7613
8910 Purdue Rd
Ste 700
Indianapolis, IN 46268
870 Oak Meadow Dr
Franklin, TN 37064
Phone (615) 721-5452
Organizations & group practices 1
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": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1215307137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 WESLEYAN RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683103",
"telephone_number": "800-603-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 OAK MEADOW DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "37064",
"telephone_number": "615-721-5439"
}
],
"practiceLocations": [
{
"address_1": "2263 Route 2",
"address_purpose": "LOCATION",
"city": "Hermon",
"state": "ME",
"postal_code": "044010605",
"country_code": "US",
"telephone_number": "207-848-9009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2263 Route 2",
"address_purpose": "LOCATION",
"city": "Hermon",
"state": "ME",
"postal_code": "044010605",
"country_code": "US",
"telephone_number": "207-848-9009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STACEY",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.