STACY J PHILLIPS MS OTR/L
NPI 1730339862
Specialist in Rochester, NY

Active since September 25, 2008
100 GROTON PKWY, ROCHESTER, NY 14623(585) 359-3710 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy J Phillips Ms Otr/l NPPES

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

STACY J PHILLIPS MS OTR/L (NPI 1730339862) is an individual specialist in Rochester, New York, licensed in New York (015323-1) and active in the NPI registry since September 2008. She maintains a secondary practice location in Fairport.

NPPES Registry Identity

NPI1730339862
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSTACY J PHILLIPSCredential: MS OTR/L
Location Address100 GROTON PKWYRochester, NY 14623
Mailing Address100 Groton PkwyRochester, NY 14623-4540 · (585) 359-3710
Sole ProprietorYes
Enumeration DateSeptember 25, 2008
Last NPPES UpdateSeptember 26, 2018
NPI 1730339862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 015323-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 GROTON PKWY, Rochester, NY 14623

Secondary Practice Location 1

Location 1149 N Main StFairport, NY 14450-1434 · Phone (585) 797-5936

Other Identifiers 1

Medicaid00357240NY

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.

Voluntary or Charitable
100 GROTON PKWY
ROCHESTER, NY 14623
Speech-Language Pathologist
100 GROTON PKWY
ROCHESTER, NY 14623
Licensed Practical Nurse
100 GROTON PKWY
ROCHESTER, NY 14623
Occupational Therapy Assistant
100 GROTON PKWY
ROCHESTER, NY 14623
Specialist
100 GROTON PKWY
ROCHESTER, NY 14623
Registered Nurse (Administrator)
100 GROTON PKWY
ROCHESTER, NY 14623
Occupational Therapist
100 GROTON PKWY
ROCHESTER, NY 14623
Speech-Language Pathologist
100 GROTON PKWY
ROCHESTER, NY 14623

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 Phillips's NPI number?

The NPI number for Stacy Phillips is 1730339862. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Where is Stacy Phillips located?

Stacy Phillips practices at 100 Groton Pkwy, Rochester, NY 14623. The listed phone number is (585) 359-3710.

What is Stacy Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacy Phillips was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.