MRS. STACY CAMILLE COSTA (NPI# 1407159700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407159700 |
| Entity Type | Individual |
| Full Name | MRS. STACY CAMILLE COSTA |
| Credential | OTR/L |
| Practice Address |
2121 Carpenter St Unit 2 Philadelphia PA 19146-2515 |
| Practice Telephone | 2156871908 |
| Mailing Telephone | 2156871908 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC009892 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487779005 | Stacy Lynn Costa | Pharmacist | 6200 Saltsburg Rd, Pittsburgh, PA 15235-2066 | 2007-03-20 |
| Street Address |
2121 CARPENTER ST UNIT 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| 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 |
|---|---|---|---|---|
| 1699380626 | John Whitham | Occupational Therapist | 721 Daly St, Philadelphia, PA 19148-3247 | 2020-09-15 |
| 1801407788 | Kathryn Martin | Occupational Therapist | 769 N 27th St, Philadelphia, PA 19130-2412 | 2020-08-13 |
| 1629687546 | Dawn Heiderscheidt | Occupational Therapist | 7421 Keiffer St, Philadelphia, PA 19128-1415 | 2020-07-27 |
| 1932721909 | Makenzie Holmsborg | Occupational Therapist | 886 N Judson St, Philadelphia, PA 19130-1937 | 2020-05-13 |
| 1407477953 | Welcome Home Wellness LLC | Occupational Therapist | 1923 Bainbridge St, Philadelphia, PA 19146-1430 | 2020-05-06 |
| 1972122836 | Melissa Turan | Occupational Therapist | 229 Manton St, Philadelphia, PA 19147-5317 | 2020-04-10 |
| 1528695293 | Shauna Batson | Occupational Therapist | 122 W Manheim St Apt 3, Philadelphia, PA 19144-3668 | 2020-03-24 |
| 1275169070 | Abby Streusand | Occupational Therapist | 4834 Cedar Ave, Philadelphia, PA 19143-2017 | 2020-03-12 |
| 1841820008 | Gia Griffin | Occupational Therapist | 14036 Faraday St, Philadelphia, PA 19116-1008 | 2020-01-16 |
| 1649810904 | Ashley Wasserman | Occupational Therapist | 162 Shurs Ln, Philadelphia, PA 19127-1723 | 2020-01-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
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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.