Active NPI
Stephanie Sanders-Howard, MOTR/L
- Occupational Therapist
- Suffolk, VA
National Provider Identifier
1073777355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119001823
- Practice address
- 100 Anna Goode Way
L.P.W.
Suffolk, VA 23434 - Phone
- (757) 539-1526
- NPI assigned
- Jul 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119001823 | VA | Primary |
| Occupational Therapist | 225X00000X | 5794 | NC |
Addresses
Primary practice location
100 Anna Goode Way
L.P.W.
Suffolk, VA 23434
Mailing address
100 Anna Goode Way
L.P.W.
Suffolk, VA 23434
Phone (757) 539-1526
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 |
|---|---|---|---|
| 5794 | NC | MD | Physical Therapy Assistant |
| 0119001823 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1073777355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ANNA GOODE WAY",
"address_2": "L.P.W.",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-539-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ANNA GOODE WAY",
"address_2": "L.P.W.",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-539-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS-HOWARD",
"first_name": "STEPHANIE",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119001823",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5794",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.