IndividualActive
Stacy Taylor
NPI 1285879783 · Occupational Therapist · Crestview, FL
Provider details
- NPI number
- 1285879783
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT 8927 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 S Ferdon Blvd
Suite C-1
Crestview, FL 32536-5252
Phone: (850) 682-8388
Fax: (850) 682-7463
Street-level locationGet directions
Mailing address
1276 Suzanne Cir
Holt, FL 32564-8402
Registry dates
- Enumerated
- 2008-12-11
- Last updated
- 2008-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.