Individual provider Active NPI

Stephanie Messier

  • Occupational Therapist
  • Shelton, WA
National Provider Identifier
1003323833
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60804888 Issued in WA
Practice address
153 Johns CT
Shelton, WA 98584-8225
Phone
(360) 427-2575
Fax
(360) 427-2563
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT60804888WAMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60804888 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

153 Johns CT
Shelton, WA 98584-8225

Mailing address

153 Johns CT
Shelton, WA 98584-8225
Phone (360) 427-2575

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2018.

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1003323833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 JOHNS CT",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848225",
            "telephone_number": "360-427-2575",
            "fax_number": "360-427-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 JOHNS CT",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848225",
            "telephone_number": "360-427-2575",
            "fax_number": "360-427-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSIER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60804888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.