Individual provider Active NPI

Lacey Stoner, OTR/L

  • Occupational Therapist
  • Conneaut Lake, PA
National Provider Identifier
1245858372
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC011661 Issued in PA
Practice address
11018 State Highway 18 Ste 3
Conneaut Lake, PA 16316-3556
Phone
(814) 783-0051
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC011661 PA Primary

Addresses

Primary practice location

11018 State Highway 18 Ste 3
Conneaut Lake, PA 16316-3556

Mailing address

11018 State Highway 18 Ste 3
Conneaut Lake, PA 16316-3556
Phone (814) 783-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727002637 PA Practitioner - Occupational Therapist in Private Practice 3577987361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schlosser Physical Therapy, LLCGroup PAC ID 7416125703, 2 clinicians

Practice addresses (Care Compare)

341 Main St
Saegertown, PA 16433-7612
Phone (814) 783-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC011661PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Pelvic Health and Wellness LLC CurrentSince Oct 1, 2022 Accepting new patients
Schlosser Physical Therapy, LLC CurrentSince Jul 15, 2020 Accepting new patients
Flourish Occupational Therapy Current Accepting new patients
Alden Physical Therapy PC CurrentSince Jul 15, 2020 Accepting new patients

Locations

11018 State Highway 18
Ste 4
Conneaut Lake, PA 16316
Phone (814) 282-4903

11018 State Highway 18
Ste 3
Conneaut Lake, PA 16316
Phone (814) 382-6570

764 Bessemer St
Ste 102
Meadville, PA 16335
Phone (814) 337-9535

Organizations & group practices 4

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1245858372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 STATE HIGHWAY 18 STE 3",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163163556",
            "telephone_number": "814-783-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11018 STATE HIGHWAY 18 STE 3",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163163556",
            "telephone_number": "814-783-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "LACEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut Lake, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.