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MRS. STACEY LYNNE GRODY CTRS
NPI 1619413481
Recreation Therapist in Grand Rapids, MI

Active since January 17, 2017
1490 EAST BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2020, Jan 17, 2017 (2 updates tracked since 2017).

About Mrs. Stacey Lynne Grody Ctrs NPPES

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

MRS. STACEY LYNNE GRODY CTRS (NPI 1619413481) is an individual recreation therapist in Grand Rapids, Michigan, licensed in Michigan (45840) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1619413481
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameMRS. STACEY LYNNE GRODYCredential: CTRS
Location Address1490 EAST BELTLINE AVE SEGrand Rapids, MI 49506
Mailing Address1490 East Beltline Ave SeGrand Rapids, MI 49506 · (616) 940-0040
Phone(616) 940-0040
Sole ProprietorNo
Enumeration DateJanuary 17, 2017
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1619413481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in MI · 45840
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1490 EAST BELTLINE AVE SE, Grand Rapids, MI 49506
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Other Names 1

Former Name (1)Mrs. Stacey Lynne Vanklompenberg

Other Providers at the Same Location NPPES 3

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

COLLETTE VICTORIA PRATT
Rehabilitation Practitioner
1490 EAST BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (517) 927-0048
MRS. THERESA LYNN ROBINSON
Specialist
1490 EAST BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
MRS. CARI L BROOKS
Specialist
1490 EAST BELTLINE AVE SE, HOPE NETWORK
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040

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 Grody's NPI number?

The NPI number for Stacey Grody is 1619413481. It was assigned to this individual provider in the NPPES registry on January 17, 2017. The provider is also known as Mrs. Stacey Lynne Vanklompenberg.

Where is Stacey Grody located?

Stacey Grody practices at 1490 East Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 940-0040.

What is Stacey Grody's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Stacey Grody was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.