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

Individual provider Physical Therapy Assistant · NPI 1295050912

Stacie Lynn Otis, PTA is a Physical Therapy Assistant in Springfield, Vermont. Practices as a sole proprietor. Licensed in Vermont.

Licensed in
VT
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone: (802) 885-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 041.0000358 (VT)

Record details

NPI number1295050912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 6, 2010
Last updated in NPPESApril 6, 2010

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