Active NPI
Stacey L Humes, OTR L
- Occupational Therapist
- Carlisle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC002500L
- Practice address
- 850 Walnut Bottom Rd Ste 306
Carlisle, PA 17013-3615 - Phone
- (717) 877-8811
- Fax
- (717) 918-5745
- NPI assigned
- Sep 15, 2005
- Last updated
- Mar 6, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC002500L | PA | Primary |
| Hand Occupational Therapist | 225XH1200X | 7472 | SC | |
| Hand Occupational Therapist | 225XH1200X |
Addresses
Primary practice location
850 Walnut Bottom Rd Ste 306
Carlisle, PA 17013-3615
Mailing address
PO Box 23
Enola, PA 17025-0023
Phone (717) 877-8811
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3571011 | Other | PA | AETNA HMO |
| 7600575 | Other | PA | AETNA PPO |
| 50012506 | Other | PA | CAPITAL BLUE CROSS |
| 76210 | Other | PA | HEALTH AMERICA COVENTRY H |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Sports Medicine & Orthopaedic Center | Current | Accepting new patients | |
| Donine M. Shaffer | Occupational Therapist | Past | Accepting new patients |
Locations
2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585
9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367
Interoperability endpoints
- https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
- stacey.humes.1@1516.direct.athenahealth.com
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- N Charleston, SC
- NPI 1922111715
-
dba Hand Therapy Associates
- Hand Occupational Therapist
- Carlisle, PA
- NPI 1891782108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1982699989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23",
"city": "ENOLA",
"state": "PA",
"postal_code": "170250023",
"telephone_number": "717-877-8811",
"fax_number": "717-732-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM RD STE 306",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133615",
"telephone_number": "717-877-8811",
"fax_number": "717-918-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMES",
"first_name": "STACEY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC002500L",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "SC",
"license": "7472",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3571011",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7600575",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50012506",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA COVENTRY H",
"identifier": "76210",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.