Stacy Ann Metheney, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004434 Issued in OH

Practice address

1310 Gary Blvd
Brunswick, OH 44212-2914

Phone

(216) 410-8285

Fax

(330) 220-1425

NPI assigned

Apr 23, 2007

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ohio Physical Therapy Services of Mayfield Heights, LLC

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  • Richmond Heights, OH
  • NPI 1982361598

  Occupational Therapist

  Medicare reassignment NPD
• Tender Touch at Home NJ LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1184265944
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467670968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 GARY BLVD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122914",
            "telephone_number": "216-410-8285",
            "fax_number": "330-220-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 GARY BLVD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122914",
            "telephone_number": "216-410-8285",
            "fax_number": "330-220-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHENEY",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "004434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beshoy Mekhael, PHARMD
• Elizabeth Melville
• Michael Paul Melville
• Bamidele Mene-Afejuku, DMD
• Maya Merheb, MD
• Kristen Marie Mey, OTD, OTR/L
• Nicole Sylvia Miklos, D.C.
• Kelly Ann Mills, LVN
• Mind/Body Institute, LLC
• Roshina Donee Mitchell

• Occupational Therapist in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.