STACY J GARDNER OT
NPI 1669239133
Occupational Therapist - Pediatrics in Shelley, ID

Active since March 01, 2024
650 N STATE ST STE 5, SHELLEY, ID 83274(208) 428-6079 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy J Gardner Ot NPPES

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

STACY J GARDNER OT (NPI 1669239133) is an individual pediatrics provider in Shelley, Idaho, licensed in Idaho (OT988) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1669239133
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameSTACY J GARDNERCredential: OT
Location Address650 N STATE ST STE 5Shelley, ID 83274-4900
Mailing Address650 N State St Ste 5Shelley, ID 83274-4900 · (208) 428-6079
Sole ProprietorNo
Enumeration DateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
NPI 1669239133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License Licensed in ID · OT988
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
650 N STATE ST STE 5, Shelley, ID 83274

Other Names 1

Former Name (1)Stacy J Rauenhorst

Other Providers at the Same Location NPPES 5

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

Physical Therapist (Pediatrics)
650 N STATE ST STE 5
SHELLEY, ID 83274
Physical Therapist (Pediatrics)
650 N STATE ST STE 5
SHELLEY, ID 83274
Physical Therapist
650 N STATE ST STE 5
SHELLEY, ID 83274
Physical Therapist (Pediatrics)
650 N STATE ST STE 5
SHELLEY, ID 83274
Physical Therapy Assistant
650 N STATE ST STE 5
SHELLEY, ID 83274

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 Gardner's NPI number?

The NPI number for Stacy Gardner is 1669239133. It was assigned to this individual provider in the NPPES registry on March 1, 2024. The provider is also known as Stacy J Rauenhorst.

Where is Stacy Gardner located?

Stacy Gardner practices at 650 N State St Ste 5, Shelley, ID 83274. The listed phone number is (208) 428-6079.

What is Stacy Gardner's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

When was this NPI record last updated?

The NPPES record for Stacy Gardner was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.