Individual provider Active NPI

Stacy Stewart

  • Occupational Therapist
  • Kenai, AK
National Provider Identifier
1760828446
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
112844 Issued in TX
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7500
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 112844 TX Primary

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

716 Evergreen Farm Dr
Temple, TX 76502-5359

Other practice location 1

912 S Capital Of Texas Hwy
West Lake Hills, TX 78746-5264
Phone (877) 366-2580 ext. 503

Other practice location 2

206 W Rockwell Ave
Soldotna, AK 99669-7439
Phone (907) 335-7500

Other identifiers 1

IdentifierTypeStateIssuer
1758427MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618001527 AK Practitioner - Occupational Therapist in Private Practice 5698286474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenaitze Indian TribeGroup PAC ID 4082506225, 29 clinicians

Practice addresses (Care Compare)

508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112844TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenaitze Indian Tribe CurrentSince May 28, 2025 Accepting new patients
Kenaitze Indian Tribe CurrentSince May 28, 2025 Accepting new patients
Kenaitze Indian Tribe Current Accepting new patients

Locations

508 Upland St
Kenai, AK 99611
Phone (907) 335-7300

Organizations & group practices 3

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1760828446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 EVERGREEN FARM DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 S Capital Of Texas Hwy",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465264",
            "country_code": "US",
            "telephone_number": "877-366-2580 x503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 W Rockwell Ave",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697439",
            "country_code": "US",
            "telephone_number": "907-335-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758427",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.