Stacey Marie Bentley, OTR
Individual provider Active NPI Occupational Therapist · Aztec, NM
NPI 1821187642 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821187642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2092 (NM)
- Practice address
- 19 Road 3390
Aztec, NM 87410-9573 - Phone
- (505) 860-3766
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2092 | NM | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2092 | NM | Yes |
Addresses
Primary practice location
19 Road 3390
Aztec, NM 87410-9573
Mailing address
PO Box 418
Aztec, NM 87410-0418
Phone (505) 860-3766
Other providers in Aztec, NM
- Aztec Urgent Care, LLC
- Rebekah Bainter
- Elizabeth Bannowsky
- William R Barkman
- Dana Kay Bearden
- William Beyhan
- Julie Bisbee
- Racine Bitsoi
- Lance H Black
- Sylvia Bowen
All providers in Aztec, NM · Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.