Stacy L. Dubois, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC005573L Issued in PA

Practice address

5930 6TH Ave Ste 1
Altoona, PA 16602-1115

Phone

(814) 515-1049

Fax

(814) 515-1050

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Stacy L. Means Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Ferris Neurohope Center , LLCGroup PAC ID 7618300138, 5 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.

• George Ferris Neurohope Center , LLC

  • Neurorehabilitation Occupational Therapist
  • Altoona, PA
  • NPI 1508417601
  Medicare reassignment Care Compare group NPD Authorized official
• Pro Care Health Systems Inc

  • Physical Therapy Clinic/Center
  • Altoona, PA
  • NPI 1205821238
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1952396483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 6TH AVE STE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021115",
            "telephone_number": "814-515-1049",
            "fax_number": "814-515-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 6TH AVE STE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021115",
            "telephone_number": "814-515-1049",
            "fax_number": "814-515-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7448 Woodbury Pike",
            "address_purpose": "LOCATION",
            "city": "Roaring Spring",
            "state": "PA",
            "postal_code": "166731600",
            "country_code": "US",
            "telephone_number": "814-224-5566",
            "fax_number": "814-224-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "STACY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005573L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "670001673",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1398618",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "MEANS",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "MOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cindy Jo Drenning, CRNP
• DRS. Reed & Sahlaney Orthodontics LLP
• Denise Drummond
• Tracee Dubbs, D.C.
• William Russel Dubler Jr.
• Brian Duclos
• Jill Duclos, RN MSN
• Kimberly Ann Dudzinski, RPH
• Christine H Duff, CRNA
• Darlene M Duffy

• Occupational Therapist in Altoona, PA
• Providers in Altoona, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.