MRS. STACY ANN METHENEY (OTR) – Occupational Therapist, NPI 1467670968

MRS. STACY ANN METHENEY (OTR) is a healthcare provider. based in Brunswick, Ohio. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 004434 (OH). The NPI Number for MRS. STACY ANN METHENEY (OTR) is 1467670968

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACY ANN METHENEY (OTR)
NPI
1467670968
Phone
(216) 410-8285
Address
1310 GARY BLVD
Enumeration Date
23 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2162155444
Graduation Year
1997 (29 years ago)
PAC ID
3072969625
Group Practice PAC ID
1850781162
Professional Enrollment ID
I20231102001198
Address ID
OH441434422RI261XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

499 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for MRS. STACY ANN METHENEY (OTR)

  • 1310 GARY BLVD

    BRUNSWICK, OH 442122914

    Phone: (216) 410-8285

    Fax: (330) 220-1425

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231102001198IOccupational Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850781162View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Qualified Speech Language PathologistOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. STACY ANN METHENEY (OTR)'s NPI?
Yes. MRS. STACY ANN METHENEY (OTR) is listed with NPI 1467670968 in the public NPI dataset.
Can I rely on MRS. STACY ANN METHENEY (OTR) being an active provider?
As of the registry snapshot, MRS. STACY ANN METHENEY (OTR) is marked active.
What is MRS. STACY ANN METHENEY (OTR)'s specialty?
The listing groups MRS. STACY ANN METHENEY (OTR) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is MRS. STACY ANN METHENEY (OTR) based?
MRS. STACY ANN METHENEY (OTR) is tied to Brunswick, Ohio in the data we show; additional addresses may exist on the full record.
Why does MRS. STACY ANN METHENEY (OTR) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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