Active NPI
Courtney Stumpf
- Occupational Therapy Assistant
- Sterling Heights, MI
National Provider Identifier
1083149082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1054080
- Practice address
- 13347 Stonegate Dr Apt 1
Sterling Heights, MI 48312-6468 - Phone
- (586) 904-1341
- NPI assigned
- Apr 27, 2017
- 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 Therapy Assistant | 224Z00000X | 1054080 | MI | Primary |
Addresses
Primary practice location
13347 Stonegate Dr Apt 1
Sterling Heights, MI 48312-6468
Mailing address
13347 Stonegate Dr Apt 1
Sterling Heights, MI 48312-6468
Phone (586) 904-1341
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 |
|---|---|---|---|
| 1054080 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1083149082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13347 STONEGATE DR APT 1",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483126468",
"telephone_number": "586-904-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13347 STONEGATE DR APT 1",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483126468",
"telephone_number": "586-904-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMPF",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "1054080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.