STACEY NICOLE MEYER (NPI# 1275693905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275693905 |
| Entity Type | Individual |
| Full Name | STACEY NICOLE MEYER |
| Credential | OTR/L |
| Practice Address |
8089 Northland Dr Breese IL 62230-2547 |
| Practice Telephone | 6188306413 |
| Practice Fax Number | 6185268140 |
| Mailing Telephone | 6188306413 |
| Mailing Fax Number | 6185268140 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 1999137812 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 056.006039 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 222Q00000X | Developmental Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956015 | Stacey Lee Meyer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-09-10 |
| 1598040446 | Stacey Lynn Meyer | Occupational Therapist | 1745 Pike Ave, Richland, WA 99354 | 2011-10-11 |
| Street Address |
8089 NORTHLAND DR |
| City | BREESE |
| State | IL |
| Zip Code | 62230-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| Find all providers in zip 62230 | ||||
| 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 |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
| 1912506247 | Elizabeth L Hadhazy | Occupational Therapist | 5 W Boulder Ct Apt A, Palos Hills, IL 60465-2347 | 2020-10-19 |
| 1952909343 | Samantha E Grimm | Occupational Therapist | 1651 Amaryllis Dr, Romeoville, IL 60446-5131 | 2020-10-16 |
| 1467050708 | Dpt Holdings LLC | Occupational Therapist | 417 E Il Route 173 Unit 101, Antioch, IL 60002-9407 | 2020-10-09 |
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1154928141 | Raymund Espiritu | Occupational Therapist | 559 W Millers Rd, Des Plaines, IL 60016-2674 | 2020-10-03 |
| 1720695158 | Christine Baumann | Occupational Therapist | 9421 Burlington Ave Apt 1n, Brookfield, IL 60513-1868 | 2020-09-29 |
| 1972119279 | Caitlin Wend | Occupational Therapist | 2317 E Lincoln Highway, Suite B, Sterling, IL 61081 | 2020-09-22 |
| 1518573260 | Kaila Ann Lange | Occupational Therapist | 4450 48th St Ct, Rock Island, IL 61202 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| 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.