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Stefanie Guy

Individual provider Active NPI Occupational Therapy Assistant · De Witt, IA

NPI 1083574065 · NPPES record last updated Nov 13, 2025

Key facts

NPI
1083574065
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
089689 (IA)
Practice address
1108 11TH Ave
De Witt, IA 52742-1025
Phone
(563) 293-1655
Fax
(563) 205-5393
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
089689IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Therapy Services, LLC Current
since Jun 13, 2026		 Accepting new patients
Genesis Health System Past
since Nov 18, 2025		 Accepting new patients

Locations

1108 11th Ave
De Witt, IA 52742
Phone (563) 293-1655

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/Hq9lMFKIau9MlCiBN698ZPzTKNvsMrCb/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 089689 IA Yes

Addresses

Primary practice location

1108 11TH Ave
De Witt, IA 52742-1025

Mailing address

1108 11TH Ave
De Witt, IA 52742-1025
Phone (563) 293-1655

Other providers in De Witt, IA

All providers in De Witt, IA · Occupational Therapy Assistant in Iowa

Sources for this page

Verify at the official NPI Registry.