STACIE LYNN WEIDNER (MS OTR/L) – Gerontology Occupational Therapist, NPI 1154633469

STACIE LYNN WEIDNER (MS OTR/L) is a healthcare provider. based in West chester, Pennsylvania. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS OTR/L. They hold a License No. OC010891 (PA). The NPI Number for STACIE LYNN WEIDNER (MS OTR/L) is 1154633469

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
STACIE LYNN WEIDNER (MS OTR/L)
NPI
1154633469
Phone
(484) 266-0387
Address
613 CRICKLEWOOD RD
Enumeration Date
2 July 2010
Last Update Date
24 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4842660387
Graduation Year
2008 (18 years ago)
PAC ID
5193051696
Group Practice PAC ID
3173626272
Professional Enrollment ID
I20190722001382
Address ID
PA196101001WY3121XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

855 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for STACIE LYNN WEIDNER (MS OTR/L)

  • 613 CRICKLEWOOD RD

    WEST CHESTER, PA 193828507

    Phone: (484) 266-0387

    Fax: (484) 266-0409

    Type: Mailing

  • 433 S Kinzer Ave

    New Holland, PA 175578736

    Phone: (717) 355-6241

    Fax: (717) 354-6687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2019-07-22

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
I20190722001382IOccupational Therapist In Private PracticePATBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities2,49441$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,13232$0
97535Training for self-care or home management, each 15 minutes57238$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes5115$0
97166Evaluation for occupational therapy, typically 45 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 19382)

Loading plans...

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: 3173626272View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticePA
-PA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
-PA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticePA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find STACIE LYNN WEIDNER (MS OTR/L)'s NPI?
You can confirm STACIE LYNN WEIDNER (MS OTR/L) with NPI 1154633469; it appears in the national provider directory.
Does this profile mean STACIE LYNN WEIDNER (MS OTR/L) is currently active?
Yes — STACIE LYNN WEIDNER (MS OTR/L) appears active in the national provider directory.
What kind of provider is STACIE LYNN WEIDNER (MS OTR/L)?
The page reflects Gerontology Occupational Therapist for STACIE LYNN WEIDNER (MS OTR/L). Clinical services aligned with this taxonomy classification.
What location shows for STACIE LYNN WEIDNER (MS OTR/L)?
We surface West Chester, Pennsylvania for STACIE LYNN WEIDNER (MS OTR/L) based on available NPPES addresses.
Is STACIE LYNN WEIDNER (MS OTR/L) a real provider?
This page reflects official NPPES data for NPI 1154633469. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

GLORIA ANNETTE JAMES D'ALESSANDRI (OTR, OTD)

Pediatric Occupational Therapist
112 3RD AVE
NPI: 1538299516

AMY C. RYAN (OTR/L, CAPS)

Occupational Therapist
140 PEBBLE VALLEY DR
NPI: 1992836712

MS. DALE B ELLENBERG (MS OTRL)

Occupational Therapist
7308, Bryan Street, West Mount Airy, Northwest Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19119, United States
NPI: 1235342171

DEANN L. BAYERL (MS, OTR/L, SCLV)

Occupational Therapist
1214 SMITH LN
NPI: 1154526689

MRS. KIRSTIN P MINK (OTR/L)

Gerontology Occupational Therapist
320, South Market Street, Elizabethtown Borough, Lancaster County, Pennsylvania, 17022, United States
NPI: 1942450655

JESSICA MARTIN

Gerontology Occupational Therapist
42, Stevens, Coldwater, Branch County, Michigan, 49036, United States
NPI: 1497906002