Stacie Lyn Abbitt, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 60341837 Issued in WA

Practice address

2900 Charlevoix Dr SE Ste 200
Grand Rapids, MI 49546-7086

Phone

(800) 684-8049

Fax

(800) 325-1326

NPI assigned

Sep 16, 2013

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

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1689000275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E TOWNLEY AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203038",
            "telephone_number": "602-743-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHARLEVOIX DR SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467086",
            "telephone_number": "800-684-8049",
            "fax_number": "800-325-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBITT",
        "first_name": "STACIE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 60341837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Abaunza
• Shan E Abbas, M.D.
• Jaclyn Michelle Abbate, LMSW
• Nicholas Thomas Abbey, MD
• Nicole Renee Abbgy, NP
• Kierstin Abbott
• Stephanie Abbott, PA-C
• Vanessa Lynne Abbott, LLPC
• Diana Abdalhk
• Samah Abdalla, MBBS

• Occupational Therapy Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.