STACY SHORE (OTR) – Pediatric Occupational Therapist, NPI 1780807289

STACY SHORE (OTR) is a healthcare provider. based in Gainesville, Florida. specializing in Pediatric Occupational Therapist. They hold the professional credentials OTR. They hold a License No. OT7559 (FL). The NPI Number for STACY SHORE (OTR) is 1780807289

Main info

Female
Sole Proprietor
Name
STACY SHORE (OTR)
NPI
1780807289
Phone
(352) 246-5384
Address
120 NW 28TH ST
Enumeration Date
11 April 2007
Last Update Date
9 July 2007
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

Provider Addresses for STACY SHORE (OTR)

  • 120 NW 28TH ST

    GAINESVILLE, FL 326072511

    Phone: (352) 246-5384

    Fax: (352) 376-0126

    Type: Location

  • 379 MAGUIRE VLG APT 6

    GAINESVILLE, FL 326032079

    Phone: (352) 846-5492

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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

Insurance plans in this area (ZIP 32607)

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Frequently asked questions

Is there an official ID for STACY SHORE (OTR) in U.S. healthcare records?
The official identifier for STACY SHORE (OTR) is NPI 1780807289.
Is there an active status for STACY SHORE (OTR)?
For scheduling context, STACY SHORE (OTR) is shown as active in the registry.
What expertise is attributed to STACY SHORE (OTR)?
STACY SHORE (OTR)'s specialty line reads Pediatric Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Florida is STACY SHORE (OTR) registered?
Use Gainesville, Florida as the headline location for STACY SHORE (OTR) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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