MR. STACY ALLIEOU WILSON (NPI# 1114236346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114236346 |
| Entity Type | Individual |
| Full Name | MR. STACY ALLIEOU WILSON |
| Credential | OTR/L |
| Practice Address |
4920 Raeford Rd Fayetteville NC 28304-3142 |
| Mailing Address |
1002 Willow Dr Apt 26 Chapel Hill NC 27514-2933 |
| Practice Telephone | 9105858308 |
| Mailing Telephone | 3368470093 |
| Mailing Fax Number | 2082462255 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 7684 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992261085 | Stacy Natasha Wilson | Counselor | 145 Parker Fishery Rd, Winton, NC 27986-9763 | 2019-02-14 |
| 1194215244 | Stacy Wilson | Registered Nurse | 1601 Ulupuni St, Kailua, HI 96734-4452 | 2018-05-15 |
| 1396276747 | Stacy Wilson | Specialist | 189 Lake St, Oceanside, NY 11572-4212 | 2017-03-27 |
| 1174898365 | Stacy Wilson | Rehabilitation Practitioner | 4233 Pelican Dr, Fallon, NV 89406-2445 | 2012-03-20 |
| 1386277150 | Stacy Ann Wilson | Peer Specialist | 2901 E Burnside St, Portland, OR 97214-1831 | 2020-02-19 |
| 1952862963 | Stacy Wilson | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Msag407p, Temple, TX 76508-0001 | 2019-03-31 |
| 1326507815 | Stacy Wilson | Social Worker | 52 Woodstream Dr, Grand Island, NY 14072 | 2019-03-14 |
| 1881103885 | Stacy J Wilson | Occupational Therapy Assistant | 3355 E Semoran Blvd, Apopka, FL 32703-6062 | 2017-09-22 |
| 1386162436 | Stacy Caye Wilson | Counselor | 505 Coates St, Parkersburg, IA 50665-7733 | 2017-09-08 |
| 1194276584 | Stacy Marie Wilson | Licensed Practical Nurse | 127 East State Street, Gloversville, NY 12078-1204 | 2016-10-20 |
| Street Address |
4920 RAEFORD RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029690 | Nicole Kathleen Simmler | Occupational Therapist | 7120 Tres Ct, Fayetteville, NC 28314-5272 | 2020-10-07 |
| 1639799877 | Kimberly Craw Myers | Occupational Therapist | 550 Warren Street, Apt. 5d, Fayetteville, NY 13066-2154 | 2020-04-17 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1699302687 | Kelsey Taylor Lisicia | Occupational Therapist | 500 Lanier Ave W Ste 603, Fayetteville, GA 30214-7644 | 2020-03-27 |
| 1598397283 | Mallory Boozer | Occupational Therapist | 2713 Breezewood Ave # 5535, Fayetteville, NC 28303-5534 | 2020-02-10 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1639726425 | Samantha Lynn Dipaolo | Occupational Therapist | 1555 Cain Rd Ste 200, Fayetteville, NC 28303-3076 | 2019-08-26 |
| 1114421922 | Serc Rehabilitation Partners LLC | Occupational Therapist | 1261 N Steamboat Dr Ste 2, Fayetteville, AR 72704-6262 | 2018-03-19 |
| 1730607540 | Tamara Terry | Occupational Therapist | 290 Ga-314 B, Fayetteville, GA 30214 | 2017-08-31 |
| 1760908867 | Natalie Snow | Occupational Therapist | 6226 W Persimmon St, Fayetteville, AR 72704-7054 | 2017-08-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MR. STACY ALLIEOU WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.