Stacia Givens

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60138440 Issued in WA

Practice address

1233 Lawrence St Ste 102
Port Townsend, WA 98368-6554

Phone

(065) 708-5588

Fax

(866) 816-1311

NPI assigned

Sep 1, 2015

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

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.

• Amy L Mara, PT

  • Physical Therapist
  • Port Townsend, WA
  • NPI 1700804481
  Medicare reassignment
• Commencement Bay Chiropractic PS

  • Chiropractor
  • Port Townsend, WA
  • NPI 1740376912
  NPD

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1972970416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680536",
            "telephone_number": "806-570-8558",
            "fax_number": "866-816-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LAWRENCE ST STE 102",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686554",
            "telephone_number": "065-708-5588",
            "fax_number": "866-816-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "STACIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60633997",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60138440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina A Germeau
• Nicole Gesner
• Christopher D Giedt, M.D.
• Nancy Ellen Gilbert-Taylor, RPH
• Joan Gitelman, M.ED BCBA
• Michael Glowski, BS, CDP
• Heather Michelle Gorden, MSW
• Lexi L Grasseth
• Gray Wolf Ranch
• Carol Greene, LAC, LMT

• Occupational Therapist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.