Individual provider Active NPI

Stephen Shane Wood, MSOTR

  • Occupational Therapist
  • Nashville, TN
National Provider Identifier
1265632806
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000002794 Issued in TN
Practice address
Vanderbilt Rehabilitation Services
1301 22ND South
Nashville, TN 37237-0001
Phone
(615) 831-4522
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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 OT0000002794 TN Primary

Addresses

Primary practice location

Vanderbilt Rehabilitation Services
1301 22ND South
Nashville, TN 37237-0001

Mailing address

6417 Holly Trace CT
Nashville, TN 37221-4150
Phone (615) 496-0590

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT0000002794TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1265632806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 HOLLY TRACE CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214150",
            "telephone_number": "615-496-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VANDERBILT REHABILITATION SERVICES",
            "address_2": "1301 22ND SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372370001",
            "telephone_number": "615-831-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "STEPHEN",
        "middle_name": "SHANE",
        "credential": "MSOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000002794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.