STACEY GORDON CONNELLY OTRL CHT
NPI 1174580872
Occupational Therapist in Providence, RI

Active since April 27, 2006
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-2500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Gordon Connelly Otrl Cht NPPES

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

STACEY GORDON CONNELLY OTRL CHT (NPI 1174580872) is an individual occupational therapist in Providence, Rhode Island, licensed in Rhode Island (OT00892) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1174580872
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSTACEY GORDON CONNELLYCredential: OTRL CHT
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing Address424 River AveProvidence, RI 02908-3438 · (401) 861-2976
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174580872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in RI · OT00892
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.
164 SUMMIT AVE, Providence, RI 02906

Other Names 1

Other Name (5)Stacey Lynn Gordon Otrl Cht

Other Identifiers 2

Other001072RI · Blue Chip Of Ri
Other00000291880RI · Bcbs Of Ri

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906

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 Stacey Connelly's NPI number?

The NPI number for Stacey Connelly is 1174580872. It was assigned to this individual provider in the NPPES registry on April 27, 2006. The provider is also known as Stacey Lynn Gordon Otrl Cht.

Where is Stacey Connelly located?

Stacey Connelly practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-2500.

What is Stacey Connelly's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Stacey Connelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.