Active NPI
Dolores Jeanne Estep, OT L CHT
- Hand Occupational Therapist
- Springfield, OH
National Provider Identifier
1104997535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 000670
- Practice address
- 1204 Villa Rd
Springfield, OH 45503 - Phone
- (937) 390-7840
- Fax
- (937) 390-8935
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 000670 | OH | Primary |
Addresses
Primary practice location
1204 Villa Rd
Springfield, OH 45503
Mailing address
1204 Villa Rd
Springfield, OH 45503
Phone (937) 390-7840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2900696 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000670 | OH | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1104997535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 VILLA RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-390-7840",
"fax_number": "937-390-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 VILLA RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-390-7840",
"fax_number": "937-390-8935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEP",
"first_name": "DOLORES",
"middle_name": "JEANNE",
"credential": "OT L CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OH",
"license": "000670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2900696",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.