Stacey S Caplan, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

12259 Issued in NC

Practice address

1004 Rosewater LN
Indian Trail, NC 28079-3712

Phone

(704) 283-0028

NPI assigned

Apr 18, 2008

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

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.

• Full Circle Pediatric Therapy

  • Physical Therapist
  • Monroe, NC
  • NPI 1487842407

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1508030768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 WESTMINSTER LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043184",
            "telephone_number": "318-444-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 ROSEWATER LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793712",
            "telephone_number": "704-283-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713016929",
            "country_code": "US",
            "telephone_number": "318-448-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPLAN",
        "first_name": "STACEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10965",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "12259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720208",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Building Blocks Speech and Language Therapy, PLLC
• C & J Drug Company, LLC
• Carolina Cala
• Elizabeth Campbell
• Sharon Hendrickson Campbell, RN
• Caring Hands Home-Care Agency LLC
• Carolina Care Solutions
• Carolina Care Solutions and Associates LLC
• Carolina Medicorp Enterprises, LLC
• Carolina'S Regional Therapy Associates

• Pediatric Occupational Therapist in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.