Individual provider Active NPI

Casey Lee Stout, OT

  • Occupational Therapist
  • Sewickley, PA
National Provider Identifier
1124625454
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015335 Issued in PA
Practice address
212 Iris Rd
Sewickley, PA 15143-2402
Phone
(412) 741-2375
Fax
(724) 647-1570
NPI assigned
Oct 9, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC015335 PA Primary

Addresses

Primary practice location

212 Iris Rd
Sewickley, PA 15143-2402

Mailing address

4538 Peach St
Erie, PA 16509-1364
Phone (181) 486-4665

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

LicenseStateTypeSpecialty
OC015335PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mrs Physical Therapy PastSince Oct 1, 2020 Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Past Accepting new patients
Medical Rehabilitation Systems, LLC PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1124625454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091364",
            "telephone_number": "181-486-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 IRIS RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432402",
            "telephone_number": "412-741-2375",
            "fax_number": "724-647-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "CASEY",
        "middle_name": "LEE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.