Stacey Gordon Connelly is a Providence, Rhode Island based therapist who is specialized in Occupational Therapy. Active license number of Stacey Gordon Connelly is OT00892 for Occupational Therapy in Rhode Island. Her current practice location is 164 Summit Ave, Providence. Patients can reach her at 401-793-2500. Stacey Gordon Connelly is OTRL CHT in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1174580872.
Stacey Gordon Connelly provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Stacey Gordon Connelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Stacey Gordon Connelly |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTRL CHT |
| Practice Address: | 164 Summit Ave, Providence,
Rhode Island, 02906-2853 |
| Phone: | 401-793-2500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174580872 |
| NPI Enumeration Date: | 27 Apr, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Gordon Connelly are as mentioned below.
| License Number | Specialization | State | Status | |
| OT00892 | Occupational Therapy | Rhode Island | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey Gordon Connelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00000291880 | Other | Rhode Island | BCBS OF RI |
| 001072 | Other | Rhode Island | BLUE CHIP OF RI |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stacey Gordon Connelly
424 River Ave,
Providence, Rhode Island |
| Zip: | 02908-3438 |
| Phone Number: | 401-861-2976 |
Patients can reach Stacey Gordon Connelly at
164 Summit Ave, Providence, Rhode Island or can
call to book an appointment on 401-793-2500.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.