Active NPI
Rodney Maurice Stennis II, COTA
- Occupational Therapy Assistant
- Richmond, TX
National Provider Identifier
1114690377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 216704
- Practice address
- 4310 Toledo Bend Dr
Richmond, TX 77406-7948 - Phone
- (281) 917-0907
- NPI assigned
- Jul 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 216704 | TX | Primary |
Addresses
Primary practice location
4310 Toledo Bend Dr
Richmond, TX 77406-7948
Mailing address
4310 Toledo Bend Dr
Richmond, TX 77406-7948
Phone (281) 917-0907
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 |
|---|---|---|---|
| 216704 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1114690377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 TOLEDO BEND DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774067948",
"telephone_number": "281-917-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 TOLEDO BEND DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774067948",
"telephone_number": "281-917-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENNIS",
"first_name": "RODNEY",
"middle_name": "MAURICE",
"name_suffix": "II",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-25",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "216704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
- Tonya Staton, LPC INTERN
- Stay Pretty LLC
- Kimberly Stayton, RN
- Steadfast Care Services LLC
- Stellouise Margaret Ramer
- Stephen F. Austin Community Health Center, Inc.
- Stephen F. Austin Community Health Center, Inc.
- Stephen'S Provider Services, LLC
- Alexander-P Ike Stephens, FNP-BC
- Heather M Stephens, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.