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

Stacey Stokes Johnson

Individual provider Occupational Therapist · NPI 1679212104

Stacey Stokes Johnson is an Occupational Therapist in Private Practice in Melbourne, Florida. Qualified in 1987, 39 years ago. Practices with Fox Rehab OT Fl LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

964 S Harbor City Blvd
Melbourne, FL 32901-1909
Phone: (321) 327-8719
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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 OT13316 (FL)

Record details

NPI number1679212104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address245 Cahaba Valley Pkwy Ste 200, Pelham, AL 35124-2217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Fox Rehab Ot Fl Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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