Stacy Lyn Rush, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210607 Issued in TX

Practice address

902 S Loop 499
Apt V8
Harlingen, TX 78550-2515

Phone

(309) 303-8000

NPI assigned

Aug 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1790978476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S LOOP 499",
            "address_2": "APT V8",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785502515",
            "telephone_number": "309-303-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S LOOP 499",
            "address_2": "APT V8",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785502515",
            "telephone_number": "309-303-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "STACY",
        "middle_name": "LYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-25",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210607",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057-002373",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2007012402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Lorenzo Ruiz Jr., R.PH.
• Marco A Ruiz
• Maria Ruiz
• Marin Ruiz, RN
• Rebecca Jannette Ruiz
• John Robert Russell, SPL-A
• Joseph Russell, LAT, ATC
• Marissa Danae Ruvalcaba, LVN
• Saul Alejandro Ruvalcaba, MD
• Timothy J Ryan, OTR

• Occupational Therapy Assistant in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.