Active NPIIndividual providerSole proprietor

Stacie L Otis, PTA

Physical Therapy Assistant in Springfield, Vermont

NPI Number1295050912
Practice location
25 Ridgewood RD, Springfield, VT 05156-3050
Fax
—
Last updated
April 6, 2010

Stacie Lynn Otis is a Physical Therapy Assistant based in Springfield, VT. Stacie Lynn Otis practices in Springfield, VT and has the professional credentials of PTA. The NPI Number for Stacie Lynn Otis is 1295050912 and holds a License No. 041.0000358 (VT). The current practice location address for Stacie Lynn Otis is 25 Ridgewood RD, Springfield, VT 05156-3050 and can be reached out via phone at 802-885-2151.

Provider Profile Details

NPI Number
1295050912
Provider Name
Stacie Lynn Otis
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
25 Ridgewood RD, Springfield, VT 05156-3050
Phone Number
802-885-2151
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2010
Last Update Date
April 6, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Ridgewood RD
Springfield, VT 05156-3050
State
Vermont
Zip
05156-3050
Phone Number
802-885-2151
Springfield, VT 05156Get directions →

Provider Business Mailing Address Details

Address
165 Park St
Springfield, VT 05156-3035
City
Springfield
State
VT
Zip
05156-3035
Phone Number
802-885-4550

License Information

License Number
041.0000358
License State
VT
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Stacie L Otis, PTA?

The NPI number of Stacie L Otis, PTA is 1295050912. It was assigned on April 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Stacie L Otis, PTA?

Stacie L Otis, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in VT under license number 041.0000358.

Where does Stacie L Otis, PTA practice?

The practice location is 25 Ridgewood RD, Springfield, VT 05156-3050. The office can be reached at 802-885-2151 (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 1295050912 directly on the NPPES registry website.

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