Individual provider Active NPI

Stacie L. Scalisi, COTA

  • Environmental Modification Occupational Therapy Assistant
  • East Greenbush, NY
National Provider Identifier
1649550575
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X
License
007899-1 Issued in NY
Practice address
11 Bri Lan Ave
Apt #1
East Greenbush, NY 12061-2727
Phone
(518) 588-4185
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy Assistant 224ZE0001X 007899-1 NY Primary

Addresses

Primary practice location

11 Bri Lan Ave
Apt #1
East Greenbush, NY 12061-2727

Mailing address

11 Bri Lan Ave
Apt #1
East Greenbush, NY 12061-2727
Phone (518) 588-4185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007899-1NYMDEnvironmental Modification Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1649550575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRI LAN AVE",
            "address_2": "APT #1",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612727",
            "telephone_number": "518-588-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BRI LAN AVE",
            "address_2": "APT #1",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612727",
            "telephone_number": "518-588-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALISI",
        "first_name": "STACIE",
        "middle_name": "L.",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "NY",
            "license": "007899-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.