Active NPI
Stacy M Yagow, OTR/L
- Occupational Therapist
- Norfolk, NE
National Provider Identifier
1831392281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1518
- Practice address
- 3200 Raasch Drive
Spier Physical Therapy
Norfolk, NE 68701-3455 - Phone
- (402) 371-2722
- Fax
- (402) 371-3313
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1518 | NE | Primary |
Addresses
Primary practice location
3200 Raasch Drive
Spier Physical Therapy
Norfolk, NE 68701-3455
Mailing address
3200 Raasch Drive
Spier Physical Therapy
Norfolk, NE 68701-3455
Phone (402) 371-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1831392281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 RAASCH DRIVE",
"address_2": "SPIER PHYSICAL THERAPY",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013455",
"telephone_number": "402-371-2722",
"fax_number": "402-371-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 RAASCH DRIVE",
"address_2": "SPIER PHYSICAL THERAPY",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013455",
"telephone_number": "402-371-2722",
"fax_number": "402-371-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGOW",
"first_name": "STACY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.