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

Stacy Banes

Individual provider Occupational Therapist · NPI 1548477318

Stacy Banes is an Occupational Therapist in Private Practice in Brookhaven, Mississippi. Qualified in 1994, 32 years ago. Practices with Tri Therapy PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
32
Licensed in
MS
In the registry since
2007

Practice location Address checks out

101 Mills St
Brookhaven, MS 39601-2521
Phone: (601) 823-5567
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT0367 (MS)

Record details

NPI number1548477318
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESDecember 29, 2009
Mailing address4109 Highway 98 W, Summit, MS 39666-9132

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Tri Therapy Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brookhaven