Erica Dawn Gronau Stevens, OTR/L MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

083994 Issued in IA

Practice address

3012 Country Club Pkwy
Harlan, IA 51537-2409

Phone

(316) 284-1583

NPI assigned

Sep 21, 2016

Last updated

Feb 14, 2020By the provider in NPPES

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

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Occupational Therapy, Health & Wellness PLLC

  • Occupational Therapist
  • Harlan, IA
  • NPI 1154951952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1174071955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 COUNTRY CLUB PKWY",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372409",
            "telephone_number": "316-284-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 COUNTRY CLUB PKWY",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372409",
            "telephone_number": "316-284-1583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Court St",
            "address_purpose": "LOCATION",
            "city": "Harlan",
            "state": "IA",
            "postal_code": "515371318",
            "country_code": "US",
            "telephone_number": "316-284-1583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ERICA",
        "middle_name": "DAWN GRONAU",
        "credential": "OTR/L MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2214",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "083994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co LLC (Shopko Pharmacy 682)
• Denise N Smith, LMHC, NCC
• Katrina Lee Smith, LMHC
• Jean R Stamp, A.R.N.P.
• Jessica Stangl
• Denise A Suedkamp, PA-C
• Amanda Jo Sumner, ARNP
• Swfac (Southwest Foot and Ankle Center)
• Thrive Occupational Therapy, Health & Wellness PLLC
• Stacy Michelle Torneten, PT, ATC

• Occupational Therapist in Harlan, IA
• Providers in Harlan, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.