STACY ELIZABETH BRAGG (NPI# 1881711620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881711620 |
| Entity Type | Individual |
| Full Name | STACY ELIZABETH BRAGG |
| Credential | OTR |
| Practice Address |
634 N Main St Suite 5 O Fallon IL 62269-3733 |
| Mailing Address |
1433 Dolman St Saint Louis MO 63104-3307 |
| Practice Telephone | 3144946337 |
| Practice Fax Number | 8884522930 |
| Mailing Telephone | 3144946337 |
| Mailing Fax Number | 8884522930 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
056.05465 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447389796 | Stacy Allison Bragg | Optometrist | 7901 Watt Ave, Antelope, CA 95843-2000 | 2007-03-05 |
| Street Address |
634 N MAIN ST SUITE 5 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124044698 | Abc Pediatric Therapy, LLC | Occupational Therapist | 634 N Main St, Suite 3, O Fallon, IL 62269-3746 | 2006-07-15 |
| 1053955906 | Dina Breanne Maxine Woodworth | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-11-04 |
| 1346899317 | Ashley Angela Watschinger | Behavior Technician | 634 N Main St, O Fallon, IL 62269-3751 | 2019-09-11 |
| 1548826316 | Elizabeth Conroy | Speech-Language Pathologist | 634 N Main St, O Fallon, IL 62269-3751 | 2019-05-16 |
| 1730742628 | Dominique Williams | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-04-17 |
| 1235691056 | Sheila Gerilyn Hipskind | Behavior Technician | 634 N Main St, O Fallon, IL 62269-3751 | 2019-04-01 |
| 1215498225 | Sarah Danielle Miller Salzman | Assistant Behavior Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-03-31 |
| 1053885749 | Marlon Van Ham | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2019-01-15 |
| 1245702869 | Mackenzie Archambo | Behavioral Analyst | 634 N Main St, O Fallon, IL 62269-3751 | 2018-12-20 |
| 1689165870 | Kendyl Ann Cuddihee | Behavior Technician | 634 N Main St, O Fallon, IL 62269-3746 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| 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:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265868756 | Amanda Hoffman | Occupational Therapist | 634 N Main St Ste 5, O Fallon, IL 62269-3746 | 2013-09-17 |
| 1366076689 | Abigail Jayne Quinn | Occupational Therapist | 634 N Main St Ste 5, O Fallon, IL 62269-3746 | 2020-02-25 |
| 1043618200 | Shauna Rittenhouse | Occupational Therapist | 634 N Main St, Ste 1, O Fallon, IL 62269-3746 | 2014-12-19 |
| 1447651617 | Kelli Eimer | Occupational Therapist | 634 N Main St, Suite 1, O Fallon, IL 62269-3746 | 2014-09-08 |
| 1528467776 | Bridget Dimercurio | Occupational Therapist | 555 E Terra Ln, O Fallon, MO 63366-2725 | 2014-08-13 |
| 1467862060 | Shannan M Borgard | Occupational Therapist | 2120 Bryan Valley Commercial Dr, O Fallon, MO 63366-3495 | 2014-05-05 |
| 1588008353 | Gina Marie Elmendorf | Occupational Therapist | 2120 Bryan Valley Commercial Dr, O Fallon, MO 63366-3495 | 2013-04-24 |
| 1568708584 | Tahnee Dyanne Hagenbuch | Occupational Therapist | 634 N Main St, Suite 5, O Fallon, IL 62269-3746 | 2012-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375865 | Color Along Pediatric Therapy | Occupational Therapist | 237 Village Rd, Willowbrook, IL 60527-6108 | 2020-10-27 |
| 1134728843 | Fabiola Aguilera | Occupational Therapist | 2110 Lancaster Cir, Naperville, IL 60565-2089 | 2020-10-22 |
| 1881291268 | Sana Hasan | Occupational Therapist | 14200 S 82nd Ave, Orland Park, IL 60462-2306 | 2020-10-08 |
| 1760097257 | Rhr Therapies LLC | Occupational Therapist | 2650 N Hermitage Ave, Chicago, IL 60614-4130 | 2020-09-10 |
| 1699390724 | Ms. Olivia's Therapy, Inc. | Occupational Therapist | 955 Willow Rd, Winnetka, IL 60093-3634 | 2020-06-15 |
| 1639792062 | Icareucan | Occupational Therapist | 7634 W Lakeview Ter, Frankfort, IL 60423-8653 | 2020-05-20 |
| 1659993939 | Robin Boushie | Occupational Therapist | 1695 Lake Cook Rd Apt 227, Highland Park, IL 60035-4472 | 2020-05-10 |
| 1740816297 | Allison Sparks | Occupational Therapist | 263 Dennis Ln, Glencoe, IL 60022-1319 | 2020-03-17 |
| 1477187243 | Childrens Developmental & Occupational Therapy Services | Occupational Therapist | 6842 Lyons St, Morton Grove, IL 60053-1308 | 2020-03-02 |
| 1598396517 | Valerie Kay Rodawold | Occupational Therapist | 215 Brenner Ct, Crete, IL 60417-1122 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STACY ELIZABETH BRAGG.
| 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.