Stacy Collins, OTR
Individual provider Active NPI Occupational Therapist · Memphis, IN
NPI 1477910271 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1477910271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31000210A (IN)
- Practice address
- 813 Weaver Rd
Memphis, IN 47143-9529 - Phone
- (502) 396-8999
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000210A | IN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31000210A | IN | Yes |
Addresses
Primary practice location
813 Weaver Rd
Memphis, IN 47143-9529
Mailing address
813 Weaver Rd
Memphis, IN 47143-9529
Phone (502) 396-8999
Other providers in Memphis, IN
- Courtney A Beckman
- Brandy Henderson Aprn LLC
- Darward Anthony Henderson
- Michael Lynch
- Donna J Merk
- Julia Overton
- Rem Indiana, Inc.
All providers in Memphis, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.