Individual provider Active NPI

Stacey Lee Girven, COTA/L

  • Occupational Therapy Assistant
  • Seven Fields, PA
National Provider Identifier
1851635189
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP001969L Issued in PA
Practice address
200 Northpointe Cir
Seven Fields, PA 16046-7861
Phone
(800) 815-8577
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP001969L PA Primary

Addresses

Primary practice location

200 Northpointe Cir
Seven Fields, PA 16046-7861

Mailing address

200 Northpointe Cir
Seven Fields, PA 16046-7861
Phone (800) 815-8577

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OP001969LPAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Muncy Area Volunteer Fire Company Inc Current Accepting new patients
Muncy Area Volunteer Fire Company Inc Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1851635189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "800-815-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "800-815-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRVEN",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP001969L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.