Individual provider Active NPI

Stephanie Pierson, OTR, DRS

  • Driving and Community Mobility Occupational Therapist
  • Richmond, IN
National Provider Identifier
1053045690
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X
Practice address
2270 Inke Rd
Richmond, IN 47374-9228
Phone
(765) 277-2998
Fax
(833) 523-2388
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Driving and Community Mobility Occupational Therapist 225XR0403X Primary

Addresses

Primary practice location

2270 Inke Rd
Richmond, IN 47374-9228

Mailing address

2270 Inke Rd
Richmond, IN 47374-9228
Phone (765) 277-2998

Other identifiers 3

IdentifierTypeStateIssuer
OT010764OtherOHOHIO OCCUPATIONAL THERAPIST LICENSE
31006980AOtherININDIANA OCCUPATIONAL THERAPY LICENSE NUMBER
425085OtherNBCOT CERTIFICATION

Other names 1

  • Niki Pierson Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Mobility Driving and Community Mobility CurrentSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1053045690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 INKE RD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473749228",
            "telephone_number": "765-277-2998",
            "fax_number": "833-523-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 INKE RD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473749228",
            "telephone_number": "765-277-2998",
            "fax_number": "833-523-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "STEPHANIE",
        "credential": "OTR, DRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OCCUPATIONAL THERAPIST LICENSE",
            "identifier": "OT010764",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA OCCUPATIONAL THERAPY LICENSE NUMBER",
            "identifier": "31006980A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT CERTIFICATION",
            "identifier": "425085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "PIERSON",
            "credential": "OTR, DRS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.