Individual provider Active NPI

Stacey Elaine Pecar, OTR/L

  • Pediatric Occupational Therapist
  • Falls Church, VA
National Provider Identifier
1215446141
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT010000830 Issued in DC
Practice address
450 W Broad St Ste 215
Falls Church, VA 22046-3318
Phone
(703) 618-8865
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0119004778 VA
Pediatric Occupational Therapist 225XP0200X OT010000830 DC Primary

Addresses

Primary practice location

450 W Broad St Ste 215
Falls Church, VA 22046-3318

Mailing address

1423 1St St NW Apt B
Washington, DC 20001-2277
Phone (703) 618-8865

Other names 1

  • Ms. Stacey Elaine Pecar Former name

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
OT010000830DCMDPediatric Occupational Therapist
0119004778VAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pecar Pediatric Therapy LLC Pediatrics PastSince Jul 24, 2022 Accepting new patients

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1215446141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 1ST ST NW APT B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012277",
            "telephone_number": "703-618-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W BROAD ST STE 215",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463318",
            "telephone_number": "703-618-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECAR",
        "first_name": "STACEY",
        "middle_name": "ELAINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119004778",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "DC",
            "license": "OT010000830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PECAR",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.