Individual provider Active NPI

Joyce Geralyn Stephens, MA OTR CHT

  • Occupational Therapist
  • Waco, TX
National Provider Identifier
1194782946
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102344 Issued in TX
Practice address
1200 Richland Drive
Suite G
Waco, TX 76710
Phone
(254) 772-0118
Fax
(254) 772-3883
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 102344 TX Primary

Addresses

Primary practice location

1200 Richland Drive
Suite G
Waco, TX 76710

Mailing address

1200 Richland Drive
Suite G
Waco, TX 76710
Phone (254) 772-0118

Other names 1

  • Joyce Kraenzle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021001428 TX Practitioner - Occupational Therapist in Private Practice 5991998940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

1200 Richland Dr
Waco, TX 76710-8008
Phone (254) 217-8333

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
102344TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Hand CurrentSince Dec 29, 2022 Accepting new patients
Endeavor Rehab Center Inc Occupational Therapist CurrentSince Dec 29, 2022 Accepting new patients

Locations

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

1200 Richland Dr
Ste G
Waco, TX 76710
Phone (254) 217-8333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1194782946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RICHLAND DRIVE",
            "address_2": "SUITE G",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76710",
            "telephone_number": "254-772-0118",
            "fax_number": "254-772-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RICHLAND DRIVE",
            "address_2": "SUITE G",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76710",
            "telephone_number": "254-772-0118",
            "fax_number": "254-772-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JOYCE",
        "middle_name": "GERALYN",
        "name_prefix": "Mrs.",
        "credential": "MA OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "KRAENZLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.