STACEY ELLICE REYNOLDS


Address: 40 Broad Street Rd, Manakin Sabot, VA 23103-2213
Phone: 8047843514

STACEY ELLICE REYNOLDS (NPI# 1578601415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578601415
Entity Type Individual
Full Name STACEY ELLICE REYNOLDS
Credential OTRL
Practice Address 40 Broad Street Rd
Manakin Sabot
VA 23103-2213
Mailing Address 1509 Wentbridge Rd
Richmond
VA 23227-4730
Practice Telephone 8047843514
Practice Fax Number 8047844514
Mailing Telephone 4102412140
Mailing Fax Number 8048280782
Enumeration Date 2007-02-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
0119004113 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers STACEY REYNOLDS

NPI Name Taxonomy Address Enumeration
1134542889 Stacey L Reynolds Counselor 400 S Broadway Ste 15, Edmond, OK 73034-3848 2014-01-31
1780143404 Stacey Reynolds Social Worker 3840 Hulen St, Fort Worth, TX 76107-7277 2019-03-13
1407173438 Stacey Reynolds Licensed Practical Nurse 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 2010-04-30

Office Location

Street Address 40 BROAD STREET RD
City MANAKIN SABOT
State VA
Zip Code 23103-2213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356498281 Jennifer M Dickerson Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-04
1407011562 Mary Suzanne Starseed Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2008-07-28
1063605665 Traci Coyle Qureshi Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-08-27
1255477279 Carolyn Taylor Huff Specialist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-29
1386790525 Integrated Therapy Services Clinic/Center 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-27
1518012376 Martica Lyn Heusler Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-24
1316091838 Laurie Susan Lanning Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-22
1821149709 Nicole Jeanette Galletta Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871123943 Lois Hermann Phillips Optometrist 9 Gamebird Ct, Manakin Sabot, VA 23103 2020-01-17
1467615336 Dr.peter Guhl Optometrist 50 Broadstreet Road, Manakin Sabot, VA 23103 2008-07-09
1952347122 Peter Murchie Dentist 1606 Hockett Rd, #3, Manakin-sabot, VA 23103 2006-06-22
1659861904 Callie A. Carter Physical Therapist 44 Broad Street Rd, Manakin Sabot, VA 23103 2018-05-12
1154878288 Erik Lineberry Physical Therapist 44 Broad Street Rd, Manakin Sabot, VA 23103 2016-09-07
1063074987 Mvp Consulting Nurse Practitioner 2180 Gum Dr, Manakin Sabot, VA 23103-2033 2019-07-01
1386024503 Linda Fletcher Case Manager/Care Coordinator 686 Rockford Rd, Manakin Sabot, VA 23103-2128 2015-06-03
1043692916 Family Care Services, LLC Case Management 686 Rockford Rd, Manakin Sabot, VA 23103-2128 2015-06-26
1306241575 Centerville Family Practice, P.C. Family Medicine 46 Broad Street Rd, Suite A, Manakin Sabot, VA 23103-2213 2014-10-29
1922187608 Centerville Cardinal Drug Center Inc Pharmacy 46a Broad Street Rd, Manakin Sabot, VA 23103-2213 2006-11-03
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356498281 Jennifer M Dickerson Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-04
1316091838 Laurie Susan Lanning Occupational Therapist 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 2007-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225640550 Lindsay Cowen Occupational Therapist 4775 21st Rd N, Arlington, VA 22207-2207 2020-08-18
1700403375 Harper Lee Gensler Occupational Therapist 8221 Old Courthouse Rd Ste 105, Vienna, VA 22182-3839 2020-06-30
1912536319 Molly Mitchell Snow Occupational Therapist 12836 Pennmardel Ln, Henrico, VA 23233-7684 2020-04-07
1821622556 Samantha Robson Occupational Therapist 14115 Lovers Ln Ste 115, Culpeper, VA 22701-4158 2020-03-03
1275177438 Annie Rachel Poole Occupational Therapist 2301 Columbia Pike, Suite 125, Arlington, VA 22204 2019-10-31
1689233868 Catherine Saliba Western Occupational Therapist 1591 Port Republic Road, Harrisonburg, VA 22801 2019-06-11
1265991665 Laura Michelle Wood Occupational Therapist 3511 Hemingway Rd, Roanoke, VA 24014-6019 2019-03-15
1669940441 Megan L Allen Occupational Therapist 204 Sunrise Bluff Ln, Smithfield, VA 23430-2318 2018-11-09
1083109144 Thomas Steven Grunwald Occupational Therapist 6160 Kempsville Cir Ste 300b, Norfolk, VA 23502-3994 2018-06-29
1083108278 Charlene Dismaya Occupational Therapist 2448 Shipyard Rd, Chesapeake, VA 23323-3905 2018-06-20
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Competitor

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City MANAKIN SABOT
Zip Code 23103

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Dataset Information

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.

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