Stacia Johnson Schaeffer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008100 Issued in MI

Practice address

839 Forest Ave
Plymouth, MI 48170-2076

Phone

(614) 554-1780

NPI assigned

Mar 28, 2017

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Integrated Rehabilitation Services LLCGroup PAC ID 9032448873, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Integrated Rehabilitation Services, LLC

  • Speech-Language Pathologist
  • Plymouth, MI
  • NPI 1265919633
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1598297707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 FOREST AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702076",
            "telephone_number": "614-554-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 FOREST AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702076",
            "telephone_number": "614-554-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "STACIA",
        "middle_name": "JOHNSON",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Wayne Scarbrough, LLC
• Danielle Scevers
• Kelly Schaal
• Emily Schachtele
• Mersadies Schack
• Samantha Schafer
• Cheryl Ann Schall, MS, CCC-SLP
• Anna Schankowski, LMSW
• Stanislaw Schelske, DPT, PT
• Colleen Schering

• Occupational Therapist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.