Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Staci Rae Bleecker, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1023556131

Miss. Staci Rae Bleecker, COTA/L is an Occupational Therapy Assistant in Lisbon, North Dakota. Licensed in North Dakota. Registered with an NPI since 2017.

Licensed in
ND
In the registry since
2017
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

905 Main St
Lisbon, ND 58054-4334
Phone: (701) 683-6402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1260 (ND)

Record details

NPI number1023556131
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedFebruary 9, 2017
Last updated in NPPESNovember 12, 2019