Stacy A McDonald, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12159 Issued in FL

Practice address

1820 Shore Dr S
South Pasadena, FL 33707-4601

Phone

(727) 851-9806

NPI assigned

Mar 2, 2012

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

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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1558635946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66724",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337366724",
            "telephone_number": "386-852-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SHORE DR S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074601",
            "telephone_number": "727-851-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "STACY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zack Raymond Martin, DMD
• Allison Martyniek
• Linda Mason, ARNP
• Maturity Medical of Pinellas Professional Association (Maturity Medical of Pinellas, P.A.)
• Shari McCraw, COTA
• Timothy Sean McGhee, BCBA
• Carter McKinnon, PTA
• Medline Enterprises Inc (Pasadena Pharmacy)
• Francine Mihalinec, PTA
• Christy Mikhael, DMD

• Occupational Therapy Assistant in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.