Christi Stanley, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C2403 Issued in WV

Practice address

165 Blackburn St
Beckley, WV 25801-9632

Phone

(304) 365-3292

NPI assigned

Dec 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1437819117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BLACKBURN ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019632",
            "telephone_number": "304-365-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BLACKBURN ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019632",
            "telephone_number": "304-365-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "CHRISTI",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WV",
            "license": "C2403",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00905273680",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol June Stafford
• Edith Stafford
• Kaelah Stafford, RN
• Michele Staker, RN, BSN, NCSN
• Heather Dawn Standard
• Dirk Patrick Stanley, MD
• Sarah Nicole Stanley, APRN, FNP-BC
• Erik Stapleton, D.O.
• Skyley Starcher
• Cynthia R Stark

• Occupational Therapy Assistant in Beckley, WV
• Providers in Beckley, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.