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

Stacey A Wilson, OT

Individual provider Hand Occupational Therapist · NPI 1932890803

Stacey A Wilson, OT is a Hand Occupational Therapist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone: (812) 333-2663
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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 31004123A (IN)
Hand Occupational Therapist Taxonomy 225XH1200X · Licence 31004123A (IN)

Record details

NPI number1932890803
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

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