Active NPI
Stacey Ann Kashi, OTR/L, C/NDT
- Pediatric Occupational Therapist
- Plantation, FL
National Provider Identifier
1386901205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT2907
- Practice address
- 10721 NW 5TH St
Plantation, FL 33324-1518 - Phone
- (954) 474-1418
- NPI assigned
- Apr 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT2907 | FL | Primary |
Addresses
Primary practice location
10721 NW 5TH St
Plantation, FL 33324-1518
Mailing address
10721 NW 5TH St
Plantation, FL 33324-1518
Phone (954) 474-1418
Other practice location 1
4301 S Flamingo Rd
Davie, FL 33330-1902
Phone (954) 312-3449
Other practice location 2
5400 S University Dr Ste 215A
Davie, FL 33328-5310
Phone (954) 319-7609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00544600 | Medicaid | FL |
Other names 1
- Miss Stacey Ann Cohen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2907 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica M. Booth M.S.CCC-SLP & Assoc. ,P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Davie, FL
- NPI 1770718462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1386901205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10721 NW 5TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241518",
"telephone_number": "954-474-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 NW 5TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241518",
"telephone_number": "954-474-1418"
}
],
"practiceLocations": [
{
"address_1": "4301 S Flamingo Rd",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333301902",
"country_code": "US",
"telephone_number": "954-312-3449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5400 S University Dr Ste 215A",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333285310",
"country_code": "US",
"telephone_number": "954-319-7609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASHI",
"first_name": "STACEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L, C/NDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT2907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00544600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "COHEN",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "OTR/L, C/NDT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.