Jonathan Scott Stadler

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4463 Issued in CT

Practice address

7 Meadowlark LN
East Lyme, CT 06333-1335

Phone

(860) 625-4799

NPI assigned

Apr 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1154984367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MEADOWLARK LN",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331335",
            "telephone_number": "860-625-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEADOWLARK LN",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331335",
            "telephone_number": "860-625-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADLER",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "4463",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "4463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "otjon@Live.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "N/A",
            "address_1": "7 Meadowlark Ln",
            "city": "East Lyme",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063331335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janine Sitko, R.D.
• Soul Synergy LLC
• Jay Edward Souza-Erlandson, LCSW
• Maureen Lynn Spitzer, MD
• Elizabeth Stadler-Rheaume, OT
• John W Stahl, DMD
• Michelle Stallworth, LPC
• Startingpoint Therapy LLC
• Alison L Stewart, PTA
• Anita Marie Stolle, RPH

• Occupational Therapist in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.