Stacy J Phillips, MS OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

015323-1 Issued in NY

Practice address

100 Groton Pkwy
Rochester, NY 14623

Phone

(585) 359-3710

NPI assigned

Sep 25, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1730339862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROTON PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234540",
            "telephone_number": "585-359-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROTON PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-359-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 N Main St",
            "address_purpose": "LOCATION",
            "city": "Fairport",
            "state": "NY",
            "postal_code": "144501434",
            "country_code": "US",
            "telephone_number": "585-797-5936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 N Main St",
            "address_purpose": "LOCATION",
            "city": "Fairport",
            "state": "NY",
            "postal_code": "144501434",
            "country_code": "US",
            "telephone_number": "585-797-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STACY",
        "middle_name": "J",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "015323-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Phillips, M.D.
• Lindsey Ann Phillips, L.P.N
• Marietta Joanne Phillips, PT
• Michelle A Phillips, PHARMD
• Roslyn Marie Phillips, MHC, CASAC-T
• Stephen Phillips, DMD
• Valerie J Phillips, PA-C
• Nanette D Phillis, MD, PLLC, MD
• Henry Kaufman Philofsky
• Deloris J Phipps, LPN

• Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.