Active NPI
Stacy Ann Paruch, OTR/L
- Occupational Therapist
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007713
- Practice address
- 2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916 - Phone
- (517) 332-3232
- Fax
- (517) 332-1132
- NPI assigned
- Jun 27, 2012
- Last updated
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201007713 | MI | Primary |
Addresses
Primary practice location
2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916
Mailing address
2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916
Phone (517) 332-3232
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201007713 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Investments | Current | Accepting new patients | |
| Katranji Reconstructive Surgery Institute, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
2111 Merritt Rd
Ste 101
East Lansing, MI 48823
Phone (517) 332-3232
2111 Merritt Rd
Ste 202
East Lansing, MI 48823
Phone (517) 332-4263
1055 S US Highway 27
Saint Johns, MI 48879
Phone (517) 224-3000
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.
-
dba KRSI;Katranji Hand Center;MichiganTherapy Center;Meridian Surgeons;
- Surgery of the Hand (Surgery) Physician
- East Lansing, MI
- NPI 1336314210
Occupational Therapist
-
dba Spartan Urgent Care
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1104101112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1932463718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 MERRITT RD",
"address_2": "SUITE 101",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236916",
"telephone_number": "517-332-3232",
"fax_number": "517-332-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 MERRITT RD",
"address_2": "SUITE 101",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236916",
"telephone_number": "517-332-3232",
"fax_number": "517-332-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARUCH",
"first_name": "STACY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.