STACEY M COSTICH OTA
NPI 1497905251
Occupational Therapy Assistant in Medina, NY

Active since September 29, 2008
12005 TELEGRAPH RD, MEDINA, NY 14103(585) 721-1241 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey M Costich Ota NPPES

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

STACEY M COSTICH OTA (NPI 1497905251) is an individual occupational therapy assistant in Medina, New York and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1497905251
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameSTACEY M COSTICHCredential: OTA
Location Address12005 TELEGRAPH RDMedina, NY 14103-9678
Mailing Address590 Fishers Station Dr Ste 130Victor, NY 14564-9744 · (585) 924-7207
Sole ProprietorNo
Enumeration DateSeptember 29, 2008
Last NPPES UpdateFebruary 21, 2020
NPI 1497905251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
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.
Also ListedSpecialistTaxonomy 174400000X · License 006251-1 (NY)
12005 TELEGRAPH RD, Medina, NY 14103

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 Costich's NPI number?

The NPI number for Stacey Costich is 1497905251. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Stacey Costich located?

Stacey Costich practices at 12005 Telegraph Rd, Medina, NY 14103. The listed phone number is (585) 721-1241.

What is Stacey Costich'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 Stacey Costich was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.