James Lee Stacey, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

636 Issued in TN

Practice address

1337 Howe Ave Ste 107
Sacramento, CA 95825-3305

Phone

(916) 564-5010

NPI assigned

Aug 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Total Education Solutions

  • Early Intervention Provider Agency
  • Rancho Cordova, CA
  • NPI 1841586757
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1346596913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 HOWE AVE STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253305",
            "telephone_number": "916-564-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 HOWE AVE STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253305",
            "telephone_number": "916-564-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "JAMES",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "2592",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA",
            "identifier": "636",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Mary'S Home II
• Joshua Allan St. Peter, DPT
• St. Therese'S Haven
• Alyssia Staats, RADT
• Gail Staber
• Vanessa Stacholy
• Shaun Stacy Estrada
• Natalya V Stadnitskaya, FNP-C
• Crystena Nicole Stafford
• Johanna Stafford

• Occupational Therapy Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Occupational Therapy Assistant in California

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