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STACEY LYNNE BOSCOE
NPI 1417690272
Rehabilitation Practitioner in Santa Cruz, CA

Active since April 19, 2022
3540 SOQUEL AVE STE D, SANTA CRUZ, CA 95062(831) 600-8911(800) 808-2728 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Lynne Boscoe NPPES

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

STACEY LYNNE BOSCOE (NPI 1417690272) is an individual rehabilitation practitioner in Santa Cruz, California, licensed in California (OW0009884) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1417690272
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameSTACEY LYNNE BOSCOE
Location Address3540 SOQUEL AVE STE DSanta Cruz, CA 95062-1769
Mailing Address3540 Soquel Ave Ste DSanta Cruz, CA 95062-1769 · (831) 600-8911 · Fax (800) 808-2728
Phone(831) 600-8911
Fax(800) 808-2728
Sole ProprietorYes
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1417690272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in CA · OW0009884
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3540 SOQUEL AVE STE D, Santa Cruz, CA 95062
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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 Stacey Boscoe's NPI number?

The NPI number for Stacey Boscoe is 1417690272. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Stacey Boscoe located?

Stacey Boscoe practices at 3540 Soquel Ave Ste D, Santa Cruz, CA 95062. The listed phone number is (831) 600-8911.

What is Stacey Boscoe's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Stacey Boscoe was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.