Stacy Elizabeth McGlory, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT405 Issued in OK

Practice address

4645 W Gore Blvd
Suite E
Lawton, OK 73505-6041

Phone

(580) 355-6785

Fax

(580) 355-6788

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stacy Elizabeth Dixon Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H2 Health Oklahoma Outpatient Clinics LLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1982683306

  Occupational Therapist, OK

  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Stillwater, OK
  • NPI 1205162716

  OK

  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc.

  • Rehabilitation Clinic/Center
  • Jenks, OK
  • NPI 1013570357
  NPD
• Valir Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
  • NPI 1871685503
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Valir Outpatient Clinics LLC

  • Physical Therapist
  • Shawnee, OK
  • NPI 1245765536
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1881645604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW 6TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731067241",
            "telephone_number": "405-609-3667",
            "fax_number": "800-506-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 W GORE BLVD",
            "address_2": "SUITE E",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056041",
            "telephone_number": "580-355-6785",
            "fax_number": "580-355-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLORY",
        "first_name": "STACY",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L,  CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "1031100248",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "DIXON",
            "middle_name": "ELIZABETH",
            "credential": "OTR/ L , CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yasmine McEvoy, RBT
• Sarah Lynn McGaughey, MPT
• Donald Gene McGee, CADC-CANDIDATE
• Ingrid Yvette McGee, BHRS
• Jillian McGlone, PRSS
• Jennifer Lynn McGrail
• Paulette McGuckin
• Stepheni McGuire
• Emily Jean McIntosh, RN
• Briana Theresa McIntyre, OTA/L

• All providers in Lawton, OK
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.