Active NPIIndividual providerSole proprietor

Ms. Stacy A Roe, COTAL

Occupational Therapy Assistant in Greenfield, Massachusetts

NPI Number1104981869
Practice location
95 Laurel St, Greenfield, MA 01301-3106
Fax
—
Last updated
July 8, 2007

Stacy Anne Roe is an Occupational Therapy Assistant based in Greenfield, MA. Stacy Anne Roe practices in Greenfield, MA and has the professional credentials of COTAL. The NPI Number for Stacy Anne Roe is 1104981869 and holds a License No. 2872 (MA). The current practice location address for Stacy Anne Roe is 95 Laurel St, Greenfield, MA 01301-3106 and can be reached out via phone at 413-774-3415.

Provider Profile Details

NPI Number
1104981869
Provider Name
Stacy Anne Roe
Credential
COTAL
Provider Entity Type
Individual
Gender
Female
Address
95 Laurel St, Greenfield, MA 01301-3106
Phone Number
413-774-3415
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Laurel St
Greenfield, MA 01301-3106
Zip
01301-3106
Phone Number
413-774-3415
Greenfield, MA 01301Get directions →

Provider Business Mailing Address Details

Address
79 Montague City RD
Greenfield, MA 01301-3906
City
Greenfield
State
MA
Zip
01301-3906
Phone Number
413-774-4240

License Information

License Number
2872
License State
MA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Ms. Stacy A Roe, COTAL?

The NPI number of Ms. Stacy A Roe, COTAL is 1104981869. It was assigned on December 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Stacy A Roe, COTAL?

Ms. Stacy A Roe, COTAL is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 2872.

Where does Ms. Stacy A Roe, COTAL practice?

The practice location is 95 Laurel St, Greenfield, MA 01301-3106. The office can be reached at 413-774-3415 (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 1104981869 directly on the NPPES registry website.

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