Ericka L Stemple, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.002632 Issued in IL

Practice address

300 E Mazon Ave
Dwight, IL 60420-1104

Phone

(815) 584-9268

Fax

(815) 584-9268

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1083021612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAZON AVE",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604201104",
            "telephone_number": "815-584-9268",
            "fax_number": "815-584-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAZON AVE",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604201104",
            "telephone_number": "815-584-9268",
            "fax_number": "815-584-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMPLE",
        "first_name": "ERICKA",
        "middle_name": "L",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.002632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint James Hospital (OSF Healthcare - Medical Group - Dwight)
• Maulin G Shah, D.O.
• Louis Shicker, MD
• Shopko Stores Operating Co LLC (Shopko Pharmacy 641)
• Michael Scott Smith, D.C.
• Dennis Edward Strobel, M.D.
• Travis Swink
• Melissa Townsend Trevino, PHARMD
• Suresh Vade, MD
• Nancy Lea Venhaus, M.A.,CCC-SLP/L

• Occupational Therapy Assistant in Dwight, IL
• Providers in Dwight, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.