Stuart Eagleburger

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC00001200 Issued in WA

Practice address

1036 E Victoria Ave
Burlington, WA 98233-1623

Phone

(360) 755-0711

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1184887333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8739 LUSK RD",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 E VICTORIA AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331623",
            "telephone_number": "360-755-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLEBURGER",
        "first_name": "STUART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC00001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie R Dodd
• Julie Anna Doster Dodge, LMHC, ATR-P, MA
• Sara Dossen, RN
• Charvet Drucker, M.ED., BCBA
• Eagle Healthcare, Inc
• Joseph Robert Eidsness, DDS
• Michael C Eubanks, D.M.D.
• Danielle Evans, BA
• Evergreen Recovery Centers
• Fairhaven Family Medicine

• Occupational Therapy Assistant in Burlington, WA
• Providers in Burlington, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.