Active NPI
Stacy Hall Hill, OTR/L
- Pediatric Occupational Therapist
- Woodstock, GA
National Provider Identifier
1750465225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT003319
- Practice address
- 215 Jep Wheeler Rd
Woodstock, GA 30188-6501 - Phone
- (678) 923-1087
- Fax
- (678) 868-2181
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT003319 | GA | Primary |
Addresses
Primary practice location
215 Jep Wheeler Rd
Woodstock, GA 30188-6501
Mailing address
347 Arnold Mill Rd
Woodstock, GA 30188-2835
Phone (770) 354-6664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 527686617-002 | Other | GA | BCBS OF GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT003319 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Home Pediatric Therapy Inc | Pediatrics | Past | Accepting new patients |
| Manely Kids | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750465225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 ARNOLD MILL RD",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301882835",
"telephone_number": "770-354-6664",
"fax_number": "678-868-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 JEP WHEELER RD",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886501",
"telephone_number": "678-923-1087",
"fax_number": "678-868-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "STACY",
"middle_name": "HALL",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT003319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA",
"identifier": "527686617-002",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.