Active NPI
Joshua Stoll
- Occupational Therapist
- Southfield, MI
National Provider Identifier
1033694377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 399283
- Practice address
- 21700 Northwestern Hwy Ste 900
Southfield, MI 48075-4906 - Phone
- (248) 798-6420
- NPI assigned
- Oct 2, 2018
- 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 | 399283 | MI | Primary |
Addresses
Primary practice location
21700 Northwestern Hwy Ste 900
Southfield, MI 48075-4906
Mailing address
1410 E 14 Mile Rd
Madison Heights, MI 48071-1541
Phone (248) 734-9500
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 |
|---|---|---|---|
| 399283 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1033694377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 E 14 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711541",
"telephone_number": "248-734-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21700 NORTHWESTERN HWY STE 900",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754906",
"telephone_number": "248-798-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLL",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "399283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.