Active NPI
Stephen Ryan Pearce, OTR/L
- Occupational Therapist
- St Petersburg, FL
National Provider Identifier
1215495379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19823
- Practice address
- 6000 49TH St N
St Petersburg, FL 33709-2145 - Phone
- (727) 521-4411
- NPI assigned
- Mar 7, 2019
- Last updated
- Mar 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT19823 | FL | Primary |
Addresses
Primary practice location
6000 49TH St N
St Petersburg, FL 33709-2145
Mailing address
10475 Gandy Blvd N Unit 1414
Saint Petersburg, FL 33702-2450
Phone (612) 805-9814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT19823 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A C Enterprises, LLC | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Able Care Mobile Therapy
- Physical Therapist
- Colorado Springs, CO
- NPI 1407244403
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1215495379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10475 GANDY BLVD N UNIT 1414",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337022450",
"telephone_number": "612-805-9814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 49TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092145",
"telephone_number": "727-521-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "STEPHEN",
"middle_name": "RYAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Cheryl Pe, PSY.S. , NCSP
- Peaceful Path Wellness LLC
- Peaceful Warriors Wellness Center
- Teresa E Peak, PA-C
- Faye R Pearce
- Pearl Shah LLC (Saint Petersburg Pharmacy)
- Pearl Shah LLC (Saint Petersburg Pharmacy)
- Pearle Capstone Eye Associates PLLC
- Christine Pearson
- Karah Shaniece Pearson, MSN, APRN, ACNPC-AG
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.