Kathryn Stump, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013439 Issued in IL

Practice address

2411 Pathways Xing
Belleville, IL 62221-5885

Phone

(618) 355-4700

NPI assigned

Apr 9, 2020

Last updated

Sep 14, 2024By 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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1083233019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E 3RD ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692225",
            "telephone_number": "618-402-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 PATHWAYS XING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215885",
            "telephone_number": "618-355-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMP",
        "first_name": "KATHRYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Stott
• Teresa Strong, LCSW
• Monique Marie Stroud, MA
• Kelly Struemph, PHARMD
• Stuart W Mauch MD P.C.
• Barbara Ann Sudholt, M.D.
• Karen E Suguitan, CRNA
• Ayla Sulley
• Michael J Sullivan, PA-C
• Leo W Sullivan. II, M.D.

• Occupational Therapist in Belleville, IL
• Providers in Belleville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.