Active NPI
Stephanie Scott, OTR-L
- Occupational Therapist
- Trent Woods, NC
National Provider Identifier
1083739064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4558
- Practice address
- 4713 Trent River Dr
Trent Woods, NC 28562-7527 - Phone
- (252) 670-5485
- Fax
- (252) 637-9184
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 4558 | NC | Primary |
Addresses
Primary practice location
4713 Trent River Dr
Trent Woods, NC 28562-7527
Mailing address
4713 Trent River Dr
Trent Woods, NC 28562-7527
Phone (252) 670-5485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301930 | Medicaid | NC |
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 |
|---|---|---|---|
| 4558 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083739064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4713 TRENT RIVER DR",
"city": "TRENT WOODS",
"state": "NC",
"postal_code": "285627527",
"telephone_number": "252-670-5485",
"fax_number": "252-637-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4713 TRENT RIVER DR",
"city": "TRENT WOODS",
"state": "NC",
"postal_code": "285627527",
"telephone_number": "252-670-5485",
"fax_number": "252-637-9184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "STEPHANIE",
"credential": "OTR-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "4558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301930",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trent Woods, NC
- Jasmine B Murphy, BSN, RN, IBCLC
- Kimberly Lewis Oncavage, O.D.
- Patrick M. McDonough, D.D.S., M.S., P.a. (Carolina Center for Dental Implants and Periodontics)
- Maria Scalf Priest, MSW, LCSW, LCAS-A
- Mark William Russell, DMD
- William Andrew Seman, PH.D.
- Jolie Ann Stadelman, PA-C
- Alexandria Bonicelli Taylor
- Kathryn Taylor
- Jeffery Raymond Thomas, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.