NPI age
2 years
Enumerated 2024-03-01
● Active
Type 1 · Individual
Stacy J Gardner, OT
Gardner is 1 of 1 occupational therapist providers in Shelley and 1 of 137 in Idaho.
Primary specialty
Occupational Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 137 active occupational therapist providers in Idaho.
NPI age
2 years
↓ 3 yr below median (5 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Practice location
650 N State St Ste 5
Shelley, ID 832744900
Mailing address
650 N State St Ste 5
Shelley, ID 832744900
Specialties
-
Occupational Therapist PrimaryOccupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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