STACY J PHILLIPS (NPI# 1730339862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730339862 |
| Entity Type | Individual |
| Full Name | STACY J PHILLIPS |
| Credential | MS OTR/L |
| Practice Address |
100 Groton Pkwy Rochester NY 14623 |
| Mailing Address |
100 Groton Pkwy Rochester NY 14623-4540 |
| Practice Telephone | 5853593710 |
| Mailing Telephone | 5853593710 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 015323-1 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00357240 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 149 N Main St, Fairport, NY 144501434 | 5857975936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121501 | Stacy Bush Phillips | Case Manager/Care Coordinator | 1501 Mill Race Dr, Salem, VA 24153-3137 | 2019-12-11 |
| 1770098394 | Stacy Phillips | Nutritionist | 571 Rockrose Ct, Incline Village, NV 89451-8300 | 2017-12-05 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1750577755 | Stacy Phillips | Licensed Practical Nurse | 129 E Columbine Rd, Wildwood Crest, NJ 08260-4133 | 2007-09-24 |
| 1558410282 | Stacy L Phillips | Psychologist | 111 Shoreham Way, Merrick, NY 11566-5030 | 2007-01-10 |
| 1962834994 | Stacy Lynn Phillips | Counselor | 1113 Murfreesboro Rd, Suite 319, Franklin, TN 37064-1306 | 2013-08-01 |
| 1639519689 | Stacy D Phillips Sr. | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2013-07-04 |
| 1194002758 | Stacy Phillips | Behavioral Analyst | 900 Nw 10th St, Oklahoma City, OK 73106-7220 | 2011-11-10 |
| 1235446972 | Stacy Phillips | Registered Nurse | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2010-09-01 |
| 1760566061 | Stacy D. Phillips | Optometrist | 11225 Nall Ave, Ste. 100, Leawood, KS 66211-1669 | 2006-10-24 |
| Street Address |
100 GROTON PKWY |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265509491 | Rochester School of The Holy Childhood | Clinic/Center | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2006-11-30 |
| 1588264774 | Gillian Hopkins | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2020-10-28 |
| 1780224402 | Rebecca Michele Bliss-gordner | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2020-01-10 |
| 1326603655 | Kathleen Moore | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2019-05-02 |
| 1346748340 | Andrea Marie Garling | Registered Nurse | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2018-01-25 |
| 1104359421 | Kathryn Sattora | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2017-04-04 |
| 1720530579 | Allison M Davis | Physical Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2016-10-27 |
| 1801342266 | Lisa Scollan Prescott | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2016-08-26 |
| 1922478106 | Shannon O'leary | Music Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2015-10-01 |
| 1609202407 | Taylor L Smith | Music Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526128 | Jill Russell Pavone | Specialist | 1850 Buffalo Rd Ste 200, Rochester, NY 14624-1550 | 2019-06-07 |
| 1205390887 | Kristy Lynn Shields | Specialist | 640 Jefferson Ave, Rochester, NY 14611-3548 | 2019-01-28 |
| 1962986364 | Allison Anne Skwirz | Specialist | 152 Barrington St Apt 108, Rochester, NY 14607-2957 | 2018-09-20 |
| 1811478373 | University Orthopaedic Associates of Rochester | Specialist | 2300 W Ridge Rd Ste 202, Rochester, NY 14626-2801 | 2018-08-23 |
| 1619457496 | University Orthopaedic Associates of Rochester | Specialist | 1000 South Ave Rm H-210, Rochester, NY 14620-2733 | 2018-08-21 |
| 1891201257 | Kate Elizabeth Huggler-rubin | Specialist | 247 Wellington Ave, Rochester, NY 14611-3039 | 2017-12-21 |
| 1194259580 | Jenny Elahi | Specialist | 99 Eastgate Dr, Rochester, NY 14617-4136 | 2017-04-12 |
| 1326591421 | Rochester Endovascular Pllc | Specialist | 1892 Winton Rd S, Rochester, NY 14618-3996 | 2016-07-26 |
| 1912352329 | Cesely Warren | Specialist | 82 Kafana Dr, Rochester, NY 14612-2718 | 2016-05-04 |
| 1043685472 | Krista Gehm | Specialist | 2400 S Clinton Ave Ste 130, Rochester, NY 14618-2668 | 2015-12-10 |
| Find all providers in ROCHESTER | ||||
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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.