Stacey Gaudenzi
NPI 1699880955ActiveIndividual· Occupational Therapist· New Milford, CT
Occupational Therapist with Restore Mobile Therapy LLC, practicing in New Milford, Connecticut. Medicare paid $18,225 for services to 17 patients in 2024.
Overview
| NPI | 1699880955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 20, 2006 |
| Last updated in NPPES | Feb 6, 2024 |
| Certified by provider | Feb 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 800 across 9 procedure codes |
| Paid by Medicare | $18,225 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Restore Mobile Therapy LLCBrookfield, CT · 9 clinicians
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