Stacy Marie Stucke, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

03718 Issued in OH

Practice address

907 E Central St
Union City, OH 45390-1605

Phone

(937) 968-5284

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1669726626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CHURCH ST",
            "city": "OSGOOD",
            "state": "OH",
            "postal_code": "45351",
            "telephone_number": "419-852-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E CENTRAL ST",
            "city": "UNION CITY",
            "state": "OH",
            "postal_code": "453901605",
            "telephone_number": "937-968-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKE",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "03718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Ross
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• Colleen M Skiles
• Steve E Skiles
• Kathleen A Smith
• Patricia L Sutter, CNP
• Ucm Day Services, LLC
• Union Christel Manor, Inc. (Ucm Residential Services)
• Union City Care Center Inc
• Union City Ohio Fire Rescue

• Occupational Therapy Assistant in Union City, OH
• Providers in Union City, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.