MRS. STACEY ANNE HODGES (NPI# 1962549030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962549030 |
| Entity Type | Individual |
| Full Name | MRS. STACEY ANNE HODGES |
| Credential | OTRL |
| Practice Address |
502 N 9th Ave Vinton IA 52349-2254 |
| Practice Telephone | 3194726372 |
| Practice Fax Number | 3194726222 |
| Mailing Telephone | 3194726372 |
| Mailing Fax Number | 3194726222 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 01036 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BLUE CROSS | 36297 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575552 | Stacey Hodges | Registered Nurse | 69 Lucy Ln, Cheektowaga, NY 14225-4437 | 2020-10-13 |
| 1831569185 | Stacey Hodges | Physical Therapy Assistant | 435 Doe Run Rd, Rocky Mount, VA 24151-6168 | 2015-09-30 |
| 1316284631 | Stacey Barbara Hodges | Counselor | 3307 Northlake Blvd, #b104, Palm Beach Gardens, FL 33403-1703 | 2013-01-07 |
| 1649408865 | Stacey L Hodges | Marriage & Family Therapist | 1125 W Spruce St, Olathe, KS 66061-3123 | 2009-06-25 |
| 1104814805 | Stacey S Hodges | Licensed Practical Nurse | 9 Physicians Dr, Jackson, TN 38305 | 2005-10-07 |
| Street Address |
502 N 9TH AVE |
| City | VINTON |
| State | IA |
| Zip Code | 52349-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104827732 | Virginia Gay Hospital Inc. | Home Health | 502 N 9th Ave, Vinton, IA 52349-2254 | 2005-08-04 |
| 1184223125 | Virginia Gay Hospital Inc. | Clinical Medical Laboratory | 502 N 9th Ave, Vinton, IA 52349-2254 | 2020-10-21 |
| 1700410685 | Usrc Eastern Iowa, LLC | Clinic/Center | 502 N 9th Ave, Vinton, IA 52349-2254 | 2020-02-28 |
| 1346880697 | Wesley Corliss Lyons | Physician Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2020-01-14 |
| 1659934180 | Cedar Valley Medical Specialists PC | Durable Medical Equipment & Medical Supplies | 502 N 9th Ave, Vinton, IA 52349-2254 | 2019-04-19 |
| 1750850095 | Shawna Sue Wilson | Physical Medicine & Rehabilitation | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-11-15 |
| 1265918635 | Brandt Corcran | Physical Therapy Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-07-18 |
| 1912402967 | Sara Marie Wattnem | Dietitian, Registered | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-03-29 |
| 1215435136 | Trevor Beck Nelson | Physician Assistant | 502 N 9th Ave, Vinton, IA 52349-2254 | 2018-01-25 |
| 1174031819 | Brendan Dean Leiran | Physician Assistant | 502 N 9th Ave, Vinton, IA 52349-2299 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154870079 | Peyton Frank | Marriage & Family Therapist | 411 A Avenue, Vinton, IA 52349 | 2016-10-04 |
| 1437591229 | James Andrew Mcloughlin | Physician Assistant | 502 N 9th Avenue, Vinton, IA 52349 | 2013-07-23 |
| 1821335167 | Advanced Eyecare Associates of Eastern Iowa Vinton PC | Optometrist | 1113 W 3rd St, Box 397, Vinton, IA 52349 | 2013-01-07 |
| 1972875870 | Emily Rachel Stone | Physical Therapist | 502 N. 9th Ave, Vinton, IA 52349 | 2012-02-08 |
| 1467674630 | Windsor Manor | Assisted Living Facility | 1807 W 5th Street, Vinton, IA 52349 | 2007-05-03 |
| 1194811976 | Jonathan Roy Clingman | Pharmacist | 106 East 4th St., Vinton, IA 52349 | 2006-10-05 |
| 1356350243 | Alan Stanley Woodhouse | Dentist | 207 E 4th Street, Vinton, IA 52349 | 2006-08-07 |
| 1518975770 | Cedar Valley Ranch | Community Based Residential Treatment Facility, Mental Illness | 2591 61st Street Lane, Vinton, IA 52349 | 2006-08-04 |
| 1952772170 | Vanessa Leah West | Counselor | 100 W 4th Street, Vinton, IA 52349 | 2015-10-14 |
| 1831271998 | Lagrange Pharmacy Inc | Pharmacy | 111 W 4th St, Vinton, IA 52349 | 2006-10-19 |
| Find all providers in zip 52349 | ||||
| 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 |
|---|---|---|---|---|
| 1457619900 | Kari Wright | Occupational Therapist | 3906 Poplar Grove Dr, Vinton, VA 24179-1016 | 2012-05-02 |
| 1497200216 | Elizabeth Blaine Bonorden | Occupational Therapist | 502 N 9th Ave, Vinton, IA 52349-2254 | 2016-08-22 |
| 1538399936 | Lisa Ann Marter | Occupational Therapist | 502 N 9th Ave, Vinton, IA 52349-2254 | 2009-07-20 |
| 1912174269 | Sarah J Wiese | Occupational Therapist | 502 N 9th Ave, Vinton, IA 52349-2254 | 2008-05-14 |
| 1164615662 | Tracy Grimes Shumate | Occupational Therapist | 204 S Maple St, Vinton, VA 24179-2522 | 2007-08-20 |
| 1982735601 | Todd A King | Occupational Therapist | 204 S Maple St, Vinton, VA 24179-2522 | 2007-03-07 |
| 1386775013 | Amy L. Conforti | Occupational Therapist | 204 S Maple St, Vinton, VA 24179-2522 | 2007-03-07 |
| 1891825212 | Patricia M. Jones | Occupational Therapist | 204 S Maple St, Vinton, VA 24179-2522 | 2007-03-06 |
| 1669502969 | Janis D Lewis | Occupational Therapist | 204 S Maple St, Vinton, VA 24179-2522 | 2007-03-06 |
| 1760512255 | Joanna S Smith | Occupational Therapist | 204 S Maple St, Vinton, VA 24179-2522 | 2007-03-06 |
| Find all providers in VINTON | ||||
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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.