National Provider Identifier

Stacy J Phillips, MS OTR/L

Stacy J Phillips, MS OTR/L is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 359-3710.

NPI 1730339862Rochester, NYSpecialist

Source: public NPPES record, last updated September 26, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1730339862
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 25, 2008
Last Updated
September 26, 2018

Practice Location

  • 100 Groton Pkwy
  • Rochester, NY 14623

Phone: (585) 359-3710

Mailing Address

  • 100 Groton Pkwy
  • Rochester, NY 14623-4540

Specialties

  • Specialist (174400000X)

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Biography

Stacy J. Phillips, MS, OTR/L, is a Rochester-area occupational therapy professional whose public record lists New York licensure and practice activity in both Rochester and Fairport through the CMS NPI Registry.

Full Record
NPI
1730339862
Entity Type
Individual
Last Name
Phillips
First Name
Stacy
Middle Name
J
Credential
MS OTR/L
Mailing Street Address
100 Groton Pkwy
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-4540
Mailing Country
US
Mailing Phone
(585) 359-3710
Practice Street Address
100 Groton Pkwy
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623
Practice Country
US
Practice Phone
(585) 359-3710
Enumeration Date
September 25, 2008
Last Updated
September 26, 2018
Sex
Female
Sole Proprietor
Yes
Taxonomies
Specialist (174400000X)
Other Identifiers
00357240 (NY)