Stacy Mary Gabor, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

18-1445 Issued in NV

Practice address

3050 N Ormsby Blvd
Carson City, NV 89703-8378

Phone

(775) 841-4646

NPI assigned

Mar 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Mary Sakoguchi Former name

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1477057438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S WESTERN AVE APT 115",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044750",
            "telephone_number": "714-768-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N ORMSBY BLVD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038378",
            "telephone_number": "775-841-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOR",
        "first_name": "STACY",
        "middle_name": "MARY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "18-1445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "SAKOGUCHI",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Fuller
• Lucy Ann Fund, R.PH.
• Mark Funke, DDS
• Tatsiana Furman, APN
• G Larry Leonakis DDS Inc
• Kent W Gabriel, M.D.
• Gail P Krivan MD LTD
• Cheryl Gallio, RD
• Odette Jane Galvez, PHARMD, RPH
• Jane Gangitano, CNS

• Occupational Therapy Assistant in Carson City, NV
• Providers in Carson City, NV by specialty
• Occupational Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.