Individual provider · Type 1 NPI

Stacey Michelle Vandenberge, OTR

Occupational Therapist · Grand Rapids, MI

NPI number 1265186233 Active

Practice location

2922 Fuller Ave NE Ste 105
Grand Rapids, MI 49505-3459

Call (616) 327-6191 Map

Fax (616) 333-4928

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201012832 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1265186233

Stacey Michelle Vandenberge, OTR's National Provider Identifier is 1265186233, issued on Feb 9, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 28, 2026.