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STACY THACKER
NPI 1497593826
Rehabilitation Practitioner in Riverside, CA

Active since July 18, 2024
3625 14TH ST, RIVERSIDE, CA 92501(951) 955-1540 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Stacy Thacker NPPES

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

STACY THACKER (NPI 1497593826) is an individual rehabilitation practitioner in Riverside, California and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1497593826
Entity TypeIndividual
Primary Taxonomy225400000X
Provider Legal NameSTACY THACKER
Location Address3625 14TH STRiverside, CA 92501-3815
Mailing Address3625 14th StRiverside, CA 92501-3815 · (951) 955-1540
Phone(951) 955-1540
Sole ProprietorNo
Enumeration DateJuly 18, 2024
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1497593826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3625 14TH ST, Riverside, CA 92501
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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.

BEATRIZ GARCIA
Counselor (Mental Health)
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1540
MS. JOZELLA MARIE FRENCH LMFT #121025
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-2066
MARY ELIZABETH REYNARD AS, AA, BA
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-5140
SONIA SANCHEZ
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-2568
DEBORAH JEAN JOHNSON
Social Worker (Clinical)
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1503
CRYSTAL COLVIN
Counselor (Mental Health)
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1560
LETTY HERRERA
Rehabilitation Practitioner
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 955-1540
DENA RACQUEL WASHINGTON
Licensed Vocational Nurse
3625 14TH ST
RIVERSIDE, CA 92501
Riverside County (951) 390-8838

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 Stacy Thacker's NPI number?

The NPI number for Stacy Thacker is 1497593826. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Stacy Thacker located?

Stacy Thacker practices at 3625 14th St, Riverside, CA 92501. The listed phone number is (951) 955-1540.

What is Stacy Thacker'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 Stacy Thacker was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.