Active NPI
Stephanie Ann Nowak, OTR/L
- Occupational Therapist
- Cleveland, OH
National Provider Identifier
1013948405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-4919
- Practice address
- 3213 Montclair Ave
Cleveland, OH 44109-4121 - Phone
- (216) 592-7237
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-4919 | OH | Primary |
Addresses
Primary practice location
3213 Montclair Ave
Cleveland, OH 44109-4121
Mailing address
3213 Montclair Ave
Cleveland, OH 44109-4121
Phone (216) 592-7237
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-4919 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1013948405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 MONTCLAIR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441094121",
"telephone_number": "216-592-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 MONTCLAIR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441094121",
"telephone_number": "216-592-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-4919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.