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

Stacey M Costich, OTA

Individual provider Specialist · NPI 1497905251

Stacey M Costich, OTA is a Specialist in Medina, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

12005 Telegraph Rd
Medina, NY 14103-9678
Phone: (585) 721-1241
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X
Specialist Taxonomy 174400000X · Licence 006251-1 (NY)

Record details

NPI number1497905251
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

Other providers in Medina