Maria Nicole Stephens, MARIA STEPHENS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2360 Issued in NC

Practice address

105 Waxhaw Professional Park Dr
Waxhaw, NC 28173-5017

Phone

(704) 251-9112

Fax

(704) 684-4644

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolina Women'S Restorative Center, LLC

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1588949291
  NPD (past)
• Happy Kids Therapy

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1528628823
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1164708442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 PLANTERS RIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701619",
            "telephone_number": "704-845-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735017",
            "telephone_number": "704-251-9112",
            "fax_number": "704-684-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MARIA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MARIA STEPHENS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4723",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soraya Montoya Soni, R.N.
• Southeast Child & Family Guidance, PLLC
• Veronica Southerland, FNP
• Kellie Marie Spear, LPCA
• Alexis Ann Stadler, LCMHCA
• Christopher George Stephenson, M.D.
• Still Souls Wellness Studios, LLC
• Christene Renae Stoke, M.A, SLP-CCC
• Strivemd
• Suganya Nelatoor,D.D.S.,P.L.L.C.

• Occupational Therapist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.