MRS. STACI L. GOMEZ OTR/CHT NPI 1679562847

NPI Information

NPI: 1679562847
Provider Name: MRS. STACI L. GOMEZ, OTR/CHT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
3033 W LAYTON AVE STE 202
GREENFIELD, WI
ZIP 53221
Phone: (414) 647-0033
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MRS. Staci L. Gomez, OTR/CHT is a hand occupational therapist in Greenfield, WI with 31 years of experience. MRS. Staci L. Gomez, OTR/CHT NPI is 1679562847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3033 W LAYTON AVE STE 202
GREENFIELD, WI
ZIP 53221-621
Phone: (414) 647-0033

The enumeration date for this NPI number is 10/19/2005 and was last updated on 2/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	1931-26	WISCONSIN	No
2	225XH1200X	Occupational Therapist	Hand	1931-026	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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