Stacy E West-Bruce, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2003010862 Issued in MO

Practice address

14360 S Outer 40
Town and Country, MO 63017-5710

Phone

(314) 434-5410

Fax

(314) 431-5640

NPI assigned

Oct 8, 2008

Last updated

Oct 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Mid-America Therapy Services, LLC

  • Local Education Agency (LEA)
  • Town and Country, MO
  • NPI 1053551911
  NPD (past)
• Mid-America Therapy Services, LLC

  • Speech-Language Pathologist
  • Town and Country, MO
  • NPI 1730314204

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1285885251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 VIRGINIA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111729",
            "telephone_number": "314-457-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 S OUTER 40",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175710",
            "telephone_number": "314-434-5410",
            "fax_number": "314-431-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST-BRUCE",
        "first_name": "STACY",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2003010862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tandc Op LLC (Town and Country Health & Rehab)
• United Physicians Group, LLC
• Warby Parker Inc.
• Washington University
• Maya Wasserstrom, LCSW
• Cara Nicole Wokurka, OTR

• Occupational Therapist in Town and Country, MO
• Providers in Town and Country, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.