Active NPIIndividual providerSole proprietor

Mrs. Stacey B Wilson

Occupational Therapist, Pediatrics in West Newbury, Massachusetts

NPI Number1003093840
Practice location
320 Main St, West Newbury, MA 01985-1420
Fax
—
Last updated
January 23, 2008

Stacey Bettcher Wilson is an Occupational Therapist, Pediatrics based in West Newbury, MA. Stacey Bettcher Wilson practices in West Newbury, MA. The NPI Number for Stacey Bettcher Wilson is 1003093840 and holds a License No. 5036 (MA). The current practice location address for Stacey Bettcher Wilson is 320 Main St, West Newbury, MA 01985-1420 and can be reached out via phone at 978-363-5553.

Provider Profile Details

NPI Number
1003093840
Provider Name
Stacey Bettcher Wilson
Provider Entity Type
Individual
Gender
Female
Address
320 Main St, West Newbury, MA 01985-1420
Phone Number
978-363-5553
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Other Names
-- Stacey Lynne Bettcher, BS (Former Name)
Provider Enumeration Date
January 23, 2008
Last Update Date
January 23, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Main St
West Newbury, MA 01985-1420
Zip
01985-1420
Phone Number
978-363-5553
West Newbury, MA 01985Get directions →

Provider Business Mailing Address Details

Address
Po Box 956
320 Main Street
West Newbury, MA 01985-0956
City
West Newbury
State
MA
Zip
01985-0956
Phone Number
978-363-5553

License Information

License Number
5036
License State
MA
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Stacey B Wilson?

The NPI number of Mrs. Stacey B Wilson is 1003093840. It was assigned on January 23, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stacey B Wilson?

Mrs. Stacey B Wilson is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in MA under license number 5036.

Where does Mrs. Stacey B Wilson practice?

The practice location is 320 Main St, West Newbury, MA 01985-1420. The office can be reached at 978-363-5553 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003093840 directly on the NPPES registry website.

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