Active NPI
Stillwaters Occupational Therapy LLC
- Occupational Therapist
- Richmond, KY
National Provider Identifier
1013636935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- STILLWATERS OCCUPATIONAL THERAPY LLC
- Practice address
- 310B S Keeneland Dr
Richmond, KY 40475-3228 - Phone
- (252) 333-8543
- NPI assigned
- Aug 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Seigh
- Title
- Business Administrator
- Phone
- (252) 333-8543
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
310B S Keeneland Dr
Richmond, KY 40475-3228
Mailing address
310B S Keeneland Dr
Richmond, KY 40475-3228
Phone (252) 333-8543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100843060 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Richmond, KY
- NPI 1568107415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1013636935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310B S KEENELAND DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753228",
"telephone_number": "252-333-8543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310B S KEENELAND DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753228",
"telephone_number": "252-333-8543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILLWATERS OCCUPATIONAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-24",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "SEIGH",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "252-333-8543",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100843060",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.