Active NPI
Stephanie Stevens, OTR
- Occupational Therapist
- Springfield, MA
National Provider Identifier
1053648675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7768
- Practice address
- 136 William Street
Springfield, MA 01105 - Phone
- (413) 788-2171
- Fax
- (413) 788-2172
- NPI assigned
- Nov 4, 2009
- 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 | 7768 | MA | Primary |
Addresses
Primary practice location
136 William Street
Springfield, MA 01105
Mailing address
136 William Street
Springfield, MA 01105
Phone (413) 788-2171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4 Saugus Ave
East Longmeadow, MA 01028-1722
PO Box
821322 Attn Powerback Credentialing Dept
Philadelphia, PA 19182-1322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7768 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1053648675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 WILLIAM STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01105",
"telephone_number": "413-788-2171",
"fax_number": "413-788-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 WILLIAM STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01105",
"telephone_number": "413-788-2171",
"fax_number": "413-788-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "STEPHANIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "7768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.