Active NPI
David A Stachowski, OTR
- Occupational Therapist
- Evansville, IN
National Provider Identifier
1134422009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001777A
- Practice address
- 500 E Walnut St
Evansville, IN 47713-2438 - Phone
- (812) 465-6202
- NPI assigned
- Dec 14, 2010
- 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 Therapist | 225X00000X | 31001777A | IN | Primary |
Addresses
Primary practice location
500 E Walnut St
Evansville, IN 47713-2438
Mailing address
500 E Walnut St
Evansville, IN 47713-2438
Phone (812) 465-6202
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 |
|---|---|---|---|
| 31001777A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Care Group at Safe Harbor, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Bel Air, MD
- NPI 1629471958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1134422009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477132438",
"telephone_number": "812-465-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477132438",
"telephone_number": "812-465-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHOWSKI",
"first_name": "DAVID",
"middle_name": "A",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001777A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- St. Mary'S Physicians' Health Group, LLC
- St. Mary'S Physicians' Health Group, LLC
- Katherine V St. Pere, OTR
- St. Vincent Health Wellness and Preventive Care Institute, Inc.
- Connie Stachowski, RD
- Andrea Stachurski, PT, DPT, CSCS
- Karaline Staggs
- Marla Stamm, MSW
- Ian Douglas Stamps, M.D.
- Janice Lynn Stamps, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.