STACIE LYNN GRIFFIN (MS, OTR/L) – Occupational Therapist, NPI 1053742346

STACIE LYNN GRIFFIN (MS, OTR/L) is a healthcare provider. based in Danville, Virginia. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, OTR/L. They hold a License No. 0119005547 (VA). The NPI Number for STACIE LYNN GRIFFIN (MS, OTR/L) is 1053742346

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
STACIE LYNN GRIFFIN (MS, OTR/L)
NPI
1053742346
Phone
(434) 797-5531
Address
175 DEER RUN RD
Enumeration Date
11 December 2013
Last Update Date
11 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045198751
Graduation Year
2011 (15 years ago)
PAC ID
8921532508
Group Practice PAC ID
3870636178
Professional Enrollment ID
I20241106000806
Address ID
VA230595720GL12211RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

527 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for STACIE LYNN GRIFFIN (MS, OTR/L)

  • 175 DEER RUN RD

    DANVILLE, VA 245402863

    Phone: (434) 797-5531

    Type: Mailing

  • 1438 SEYMOUR DR

    SOUTH BOSTON, VA 245923916

    Phone: (434) 517-9947

    Type: Location

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: 2024-11-06

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
I20241106000806IOccupational Therapist In Private PracticeVATBD

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.

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

Insurance plans in this area (ZIP 24540)

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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: 3870636178View full group profile
NameSpecialtyState
Qualified Speech Language PathologistVA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What is the standard ID for STACIE LYNN GRIFFIN (MS, OTR/L) in the U.S.?
In the U.S., STACIE LYNN GRIFFIN (MS, OTR/L) is identified by NPI 1053742346.
Does the public listing show STACIE LYNN GRIFFIN (MS, OTR/L) as active?
STACIE LYNN GRIFFIN (MS, OTR/L)'s NPI record reflects an active status in NPPES.
What services align with STACIE LYNN GRIFFIN (MS, OTR/L)'s listing?
STACIE LYNN GRIFFIN (MS, OTR/L)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to STACIE LYNN GRIFFIN (MS, OTR/L)?
STACIE LYNN GRIFFIN (MS, OTR/L) shows a connection to Danville, Virginia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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