STACIE MICHELLE VAN DAM
NPI 1174008668
Occupational Therapy Assistant in Dayton, OH

Active since October 01, 2018
421 TOWANDA CIR, DAYTON, OH 45431(937) 974-5138 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie Michelle Van Dam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE MICHELLE VAN DAM (NPI 1174008668) is an individual occupational therapy assistant in Dayton, Ohio, licensed in Oregon (245809) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1174008668
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameSTACIE MICHELLE VAN DAM
Location Address421 TOWANDA CIRDayton, OH 45431-2132
Mailing Address421 Towanda CirDayton, OH 45431-2132 · (937) 974-5138
Sole ProprietorYes
Enumeration DateOctober 1, 2018
NPI 1174008668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in OR · 245809
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
421 TOWANDA CIR, Dayton, OH 45431

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Van Dam's NPI number?

The NPI number for Stacie Van Dam is 1174008668. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Stacie Van Dam located?

Stacie Van Dam practices at 421 Towanda Cir, Dayton, OH 45431. The listed phone number is (937) 974-5138.

What is Stacie Van Dam's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Stacie Van Dam was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.