Stacey C Smart, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12478 Issued in NC

Practice address

1289 Oliver St
Fayetteville, NC 28304-4450

Phone

(910) 483-8331

Fax

(910) 483-8335

NPI assigned

Mar 17, 2014

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

Other names 1

• Stacey C Harlukowicz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Pediatric Developmental Therapy

  • Rehabilitation Practitioner
  • Fayetteville, NC
  • NPI 1710183991

  Multi-Specialty

  NPD (past)
• Pediatric Developmental Therapy

  • Speech-Language Pathologist
  • Fayetteville, NC
  • NPI 1730137779

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1356767297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CARRIE ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832152",
            "telephone_number": "231-690-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 OLIVER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044450",
            "telephone_number": "910-483-8331",
            "fax_number": "910-483-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "STACEY",
        "middle_name": "C",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HARLUKOWICZ",
            "middle_name": "C",
            "credential": "M.S., OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Edward Slipman, DO
• Kiarra Sloan-Edwards
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• Small Talk Solutions LLC
• Tiona Small
• Jade Smelser
• Ramona M Smerz, LCSW
• Smith & Kolb Family Practice, PLLC
• Sara Irene Smith Wells, M.A.
• Kimberly Smith-McLaughlin, MSW, LCSWA

• Occupational Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.