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

Stacey Gordon Connelly, OTRLCHT

Individual provider Occupational Therapist · NPI 1174580872

Stacey Gordon Connelly, OTRLCHT is an Occupational Therapist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006

Practice location Address checks out

164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-2500
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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 OT00892 (RI)

Record details

NPI number1174580872
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRLCHT
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESJuly 8, 2007

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