Stacey Fulkerson, OT - Occupational Therapist in Providence, RI

Stacey Fulkerson, OT is a Occupational Therapist based in Providence, Rhode Island. Stacey Fulkerson is licensed to practice in Rhode Island (license number OT00162-G) and her current practice location is 1000 Eddy Street, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 533-9100.

NPI number for Stacey Fulkerson is 1902117831 and her current mailing address is 1000 Eddy Street, Providence, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902117831.

Contact Information

Stacey Fulkerson, OT
1000 Eddy Street,
Providence, RI 02905
(401) 533-9100
Not Available



Healthcare Provider's Profile

Full NameStacey Fulkerson
GenderFemale
SpecialityOccupational Therapist
Location1000 Eddy Street, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902117831
  • Provider Enumeration Date: 06/25/2010
  • Last Update Date: 06/25/2010

Medical Identifiers

Medical identifiers for Stacey Fulkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902117831NPI-NPPES
6400144OtherRIUNITED
2058OtherRINHPRC
99947OtherRIBCROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT00162-G (Rhode Island)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 Fulkerson 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 Fulkerson, OT
1000 Eddy Street,
Providence, RI 02905

Ph: (401) 533-9100
Stacey Fulkerson, OT
1000 Eddy Street,
Providence, RI 02905

Ph: (401) 533-9100

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› Verified 4 days ago


Occupational Therapist in Providence, RI

Caitlin Kelly,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Eddy St, Providence, RI 02905
Phone: 401-533-9100    
Allison Marie Hourahan, OTR/L, CLT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 668 Eddy St, Providence, RI 02903
Phone: 401-274-1122    
Ms. Diana Navarro, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 353 Blackstone Blvd, Providence, RI 02906
Phone: 401-273-6565    
Mrs. Kelly L. Klampert, OTR L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Eddy St, Providence, RI 02905
Phone: 401-533-9100    
Kristen Laurie Bourque,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Eddy St, Providence, RI 02905
Phone: 401-533-9165    Fax: 401-533-9105
Miss Christa N Fadden, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8661    
Miss Melissa Anne Barlow, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-5080    

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