Stacey Ellice Reynolds, OTRL - Occupational Therapist in Manakin Sabot, VA

Stacey Ellice Reynolds, OTRL is a Occupational Therapist - Pediatrics based in Manakin Sabot, Virginia. Stacey Ellice Reynolds is licensed to practice in Virginia (license number 0119004113) and her current practice location is 40 Broad Street Rd, Manakin Sabot, Virginia. She can be reached at her office (for appointments etc.) via phone at (804) 784-3514.

NPI number for Stacey Ellice Reynolds is 1578601415 and her current mailing address is 1509 Wentbridge Rd, Richmond, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578601415.

Contact Information

Stacey Ellice Reynolds, OTRL
40 Broad Street Rd,
Manakin Sabot, VA 23103-2213
(804) 784-3514
(804) 784-4514



Healthcare Provider's Profile

Full NameStacey Ellice Reynolds
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location40 Broad Street Rd, Manakin Sabot, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578601415
  • Provider Enumeration Date: 02/02/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Stacey Ellice Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578601415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 0119004113 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Ellice Reynolds is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Ellice Reynolds, OTRL
1509 Wentbridge Rd,
Richmond, VA 23227-4730

Ph: (410) 241-2140
Stacey Ellice Reynolds, OTRL
40 Broad Street Rd,
Manakin Sabot, VA 23103-2213

Ph: (804) 784-3514

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Occupational Therapist in Manakin Sabot, VA

Traci Coyle Qureshi, MS OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Broad Street Rd, Manakin Sabot, VA 23103
Phone: 804-784-3514    
Kayla Courtney Kane, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 44 Broad Street Rd, Manakin Sabot, VA 23103
Phone: 804-784-7090    Fax: 804-784-7092
Ms. Laurie Susan Lanning, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Broad Street Rd, Manakin Sabot, VA 23103
Phone: 804-784-3514    Fax: 804-784-4514
Miss Jennifer M Dickerson, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Broad Street Rd, Manakin Sabot, VA 23103
Phone: 804-784-3514    
Ms. Mary Suzanne Starseed, MHS, LOT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Broad Street Rd, Manakin Sabot, VA 23103
Phone: 804-784-3514    
Mrs. Martica Lyn Heusler, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Broad Street Rd, Manakin Sabot, VA 23103
Phone: 804-784-3514    

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