Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Michelle Stacy, OTR/L

Individual provider Occupational Therapist · NPI 1093699829

Andrea Michelle Stacy, OTR/L is an Occupational Therapist in Private Practice in Chicago, Illinois. Qualified in 1994, 32 years ago. Practices with Memorycare Corporation, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

311 E Cullerton St Unit 3
Chicago, IL 60616-4323
Phone: (312) 399-0933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056003713 (IL)

Record details

NPI number1093699829
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Memorycare Corporation — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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