Active NPI
Stacy Tucker, MSOT
- Occupational Therapist
- Caro, MI
National Provider Identifier
1215413299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009071
- Practice address
- 1285 Cleaver Rd
Caro, MI 48723-9241 - Phone
- (989) 672-0518
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201009071 | MI | Primary |
Addresses
Primary practice location
1285 Cleaver Rd
Caro, MI 48723-9241
Mailing address
351 York Dr
Bay City, MI 48706-1428
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009071 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1215413299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 YORK DR",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487061428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 CLEAVER RD",
"city": "CARO",
"state": "MI",
"postal_code": "487239241",
"telephone_number": "989-672-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "STACY",
"credential": "MSOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caro, MI
- Kaitlyn Tobin
- Courtney Lynn Topp, FNP-BC
- Richard M Touma, DO
- Tri City Geriatrics Inc
- Lawrence A Tribula
- Kira F Turner, MSW, LLMSW
- Tuscola County Community Mental Health
- Tuscola County Community Mental Health Authority
- Tuscola County Community Mental Health Services Board
- Tuscola County Medical Care Facility
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.