Active NPI
Stephen Barbour, OTR/L
- Occupational Therapist
- Culver City, CA
National Provider Identifier
1033522693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12104
- Practice address
- 11490 Braddock Dr
Culver City, CA 90230-5151 - Phone
- (410) 458-6242
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- 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 | 12104 | CA | Primary |
Addresses
Primary practice location
11490 Braddock Dr
Culver City, CA 90230-5151
Mailing address
11490 Braddock Dr
Culver City, CA 90230-5151
Phone (410) 458-6242
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1033522693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11490 BRADDOCK DR",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305151",
"telephone_number": "410-458-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11490 BRADDOCK DR",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305151",
"telephone_number": "410-458-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOUR",
"first_name": "STEPHEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.