Stacy Gardner, OT
NPI 1669239133 · Pediatric Occupational Therapist · Shelley, ID
Stacy Gardner, OT is a Pediatric Occupational Therapist provider in Shelley, ID (NPI 1669239133).
Provider details
- NPI number
- 1669239133
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- OT988 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Frequently asked questions
- What is Stacy Gardner's NPI number?
- Stacy Gardner's National Provider Identifier (NPI) is 1669239133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Gardner's specialty?
- Stacy Gardner is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Stacy Gardner located?
- Stacy Gardner's practice location on file with NPPES is 650 N State St Ste 5, Shelley, ID 83274-4900.
- What is Stacy Gardner's phone number?
- The practice phone number listed in the NPPES registry for Stacy Gardner is (208) 428-6079.
- Is Stacy Gardner's NPI active?
- Yes — Stacy Gardner's NPI (1669239133) is active in the NPPES registry as of the last update on 2024-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.