Active NPI
Jennifer Stachowski
- Occupational Therapist
- Bartlett, TN
National Provider Identifier
1235541293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0000003655
- Practice address
- 6526 Altruria Creek CT
Bartlett, TN 38135-9235 - Phone
- (901) 361-1291
- NPI assigned
- May 27, 2014
- Sex
- Female
- 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 | OT0000003655 | TN | Primary |
Addresses
Primary practice location
6526 Altruria Creek CT
Bartlett, TN 38135-9235
Mailing address
6526 Altruria Creek CT
Bartlett, TN 38135-9235
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 |
|---|---|---|---|
| OT0000003655 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Autism Memphis | Past | 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 and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Memphis, TN
- NPI 1609223163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1235541293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6526 ALTRURIA CREEK CT",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381359235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6526 ALTRURIA CREEK CT",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381359235",
"telephone_number": "901-361-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHOWSKI",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT0000003655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
- Caryn Desiree Spellings, APN
- Cynthia A Spencer, FNP-C
- Erica Yvette Spencer, REGISTERED NURSE
- St Francis Bartlett
- St. John's Community Services
- John P Stacks Jr., D.C.
- Jana Stader, PHARMD
- Staffco of Tennessee, LLC. (At Home Healthcare of West Tennessee)
- Adero Kaia Stallworth, PHARMD
- Doretha Staples, RKT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.