Staci M Roth, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056013526 Issued in IL

Practice address

1601 E Main St Ste G
Saint Charles, IL 60174-2431

Phone

(630) 880-0993

NPI assigned

Feb 21, 2006

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Recess Inc

  • Pediatric Occupational Therapist
  • St Charles, IL
  • NPI 1861839193
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1285609420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38W125 HENRICKSEN RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601755471",
            "telephone_number": "630-217-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E MAIN ST STE G",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742431",
            "telephone_number": "630-880-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STACI",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots and Wings Counseling Consultants, LLC
• Stacy Lee Rosas, LSW
• Jake Rosenfeldt
• Rosewood Care Center, Inc of St Charles
• Jennifer Lee Ross, LCSW
• Route 64 Dental LLC
• Royalnova Healthcare
• Magdalena Rozycki, MSW
• Anna Linnea Rucinova, MA, ALMFT
• Anna Ruffalo, RBT

• Occupational Therapist in St Charles, IL
• Providers in St Charles, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.