Active NPI
Stacy Marie Chaudoir, OTR
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1427306117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2959-026
- Practice address
- 1825 N Prospect Ave
Milwaukee, WI 53202-1933 - Phone
- (414) 298-8451
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2959-026 | WI | Primary |
Addresses
Primary practice location
1825 N Prospect Ave
Milwaukee, WI 53202-1933
Mailing address
1924 N Hubbard St Apt 402
Milwaukee, WI 53212-3792
Phone (414) 460-8889
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 |
|---|---|---|---|
| 2959-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1427306117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 N HUBBARD ST APT 402",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532123792",
"telephone_number": "414-460-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 N PROSPECT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021933",
"telephone_number": "414-298-8451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDOIR",
"first_name": "STACY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2959-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.