Victoria Anne Stoller, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1201 E Beardsley Ave
Elkhart, IN 46514-3574

Phone

(574) 206-0086

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1053191874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E ROSE LN",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465672142",
            "telephone_number": "260-445-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BEARDSLEY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143574",
            "telephone_number": "574-206-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Stewart, D.D.S.
• Quinn Andrew Stillson, MD
• Reed Stockman, CRNA
• Elizabeth Marie Stockwell, AUD
• Tara Lynn Stokes, CNM
• Emily Marie Stout, D.D.S
• Leah Michelle Stover, FNP-BC
• Stacy Ann Struble, ATC
• Allen J Stuckey, M.D.
• Amy L. Sturma, MSW, CSAYP

• Occupational Therapist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.