Stephanie R Yslava, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16160 Issued in CA

Practice address

1200 E. Highland Ave
404
Redlands, CA 92374-5449

Phone

(909) 649-2585

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Gervais Former name

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1114434495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E. HIGHLAND AVE",
            "address_2": "404",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745449",
            "telephone_number": "909-649-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E. HIGHLAND AVE",
            "address_2": "404",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745449",
            "telephone_number": "909-649-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YSLAVA",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GERVAIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.