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

Mrs. Staci Hogan, OTRL

Individual provider Occupational Therapist · NPI 1053047506

Mrs. Staci Hogan, OTRL is an Occupational Therapist in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

123 NW Lincoln Cir N
St Petersburg, FL 33702
Phone: (734) 748-4695
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT23207 (FL)

Record details

NPI number1053047506
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorYes
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 27, 2022
Certification dateJuly 20, 2022

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