Staci Gormley, OT | |
171 Ashley Ave, Charleston, SC 29425-0001 | |
(843) 792-1414 | |
Not Available |
Full Name | Staci Gormley |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 31 Years |
Location | 171 Ashley Ave, Charleston, South Carolina |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083626410 | NPI | - | NPPES |
TH1530 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2494 (South Carolina) | Primary |
Provider Name | Stasi's Low Vision Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134493737 PECOS PAC ID: 6507028164 Enrollment ID: O20120427000428 |
Mailing Address | Practice Location Address |
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Staci Gormley, OT Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Staci Gormley, OT 171 Ashley Ave, Charleston, SC 29425-0001 Ph: (843) 792-1414 |
Mr. Shawn Styles, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1941 Savage Road, Suite 400c, Charleston, SC 29407 Phone: 843-571-2700 Fax: 843-571-2124 | |
Mira Kraft, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2230 Ashley Crossing Dr, Charleston, SC 29414 Phone: 843-766-5228 | |
Mrs. Alysson Miller Goodwin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Race St, Charleston, SC 29403 Phone: 318-792-1696 | |
Amanda Prester Beacham, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 45 Sycamore Ave Apt 917, Charleston, SC 29407 Phone: 843-900-6202 Fax: 843-574-8858 | |
Mary Katherine Melroy, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 236 Confederate Cir, Charleston, SC 29407 Phone: 843-718-5898 | |
Julia Gilkerson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Colleton Dr, Charleston, SC 29407 Phone: 843-991-7709 | |
Leslie Newton-fites, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 Bishop Gadsden Way, Charleston, SC 29412 Phone: 843-406-6302 Fax: 843-406-6540 |