Stacy Kozlowski, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6145 Issued in NC

Practice address

39 Wood Stork CT
Clayton, NC 27520-4178

Phone

(919) 368-9375

NPI assigned

Jan 30, 2007

Last updated

Jan 23, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abil-OT

  • Occupational Therapist
  • Clayton, NC
  • NPI 1699329771

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1790821106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WOOD STORK CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204178",
            "telephone_number": "919-368-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WOOD STORK CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204178",
            "telephone_number": "919-368-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "STACY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008987",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "6145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Christopher Kleinert, PA-C
• KMG Holdings, Inc. (The Lighthouse)
• Amanda Dawn Knotts, LBA
• Mary Anna Jarvis Knox, PHARMD
• Bryan Koprowski
• Kraft Psychological Services, PA
• Frederick Milton Kraft, LPA
• Jennifer Krejcha, CD(DONA)
• Edward T. Kryn, M.D.
• Nathan James Kryn, D.D.S.

• Pediatric Occupational Therapist in Clayton, NC
• Providers in Clayton, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.