Stacey Mroczkowski, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202007068 Issued in MI

Practice address

1840 Wealthy St SE
Grand Rapids, MI 49506-2921

Phone

(616) 634-3321

NPI assigned

Feb 23, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1326288986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 SUNNYNOOK COURT NORTH SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495196519",
            "telephone_number": "616-634-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062921",
            "telephone_number": "616-634-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROCZKOWSKI",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Thomas Moylan
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• MRJ Counseling LLC
• Amelia Rose Mroch, MS
• Melanie Mrozek
• Mitchell Paul Mrozik, MS, RD
• Melissa Mrsic
• Ms Cascade HS, LLC
• Marcus Salim Muallem, MD

• Occupational Therapy Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.