IndividualActive
Stacy Stockard, OTR/L
NPI 1437400116 · Physical Rehabilitation Occupational Therapist · Belleville, IL
Provider details
- NPI number
- 1437400116
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT16640 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 257-5758
Approximate (ZIP-level) locationGet directions
Mailing address
807 Sunnyhill Ln
Columbia, IL 62236-2085
Additional practice locations (1)
- 4500 San Pablo Rd SJacksonville, FL 32224-1865Phone: (904) 953-2000
Registry dates
- Enumerated
- 2012-09-21
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.