Stacey Bunch-Harrison, OCCUPATIONAL THERAPI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC005077L Issued in PA

Practice address

4700 Wissahickon Ave
Suite 126
Philadelphia, PA 19144-4248

Phone

(215) 951-0300

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811103500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 MELROSE AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272926",
            "telephone_number": "215-951-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "address_2": "SUITE 126",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "215-951-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH-HARRISON",
        "first_name": "STACEY",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005077L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Bulson
• Eric Bumbaca
• Sandy Bumgardner, PSY.D.
• Kanika Christina Bumpas
• Sovannak Bun, PHARMD
• Aric C Bunch, CRNA
• Julia Elizabeth Bunch, LMFT
• Noah Adam Buncher, MD
• Sophia Grace Bunde, MD
• Bundle Boosters RX

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.