Active NPI
Amy C Stevens, OTRL
- Occupational Therapist
- Natchez, MS
National Provider Identifier
1306995469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1576
- Practice address
- 123 Jefferson Davis Blvd
Natchez, MS 39120-5103 - Phone
- (601) 445-0005
- Fax
- (601) 445-0370
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1576 | MS | Primary |
| Occupational Therapist | 225X00000X | OTT.Z12205 | LA |
Addresses
Primary practice location
123 Jefferson Davis Blvd
Natchez, MS 39120-5103
Mailing address
123 Jefferson Davis Blvd
Natchez, MS 39120-5103
Phone (601) 445-0005
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.Z12205 | LA | MD | Occupational Therapist |
| OT1576 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Rehab Associates, Inc. | Occupational Therapist | Past | Accepting new patients |
| Key Medical Supply,LLC | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Natchez, MS
- NPI 1598145807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306995469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 JEFFERSON DAVIS BLVD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391205103",
"telephone_number": "601-445-0005",
"fax_number": "601-445-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 JEFFERSON DAVIS BLVD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391205103",
"telephone_number": "601-445-0005",
"fax_number": "601-445-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "AMY",
"middle_name": "C",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT1576",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.Z12205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natchez, MS
- Southwest Mississippi Planning and Development District
- Southwest Mississippi Planning and Development District
- Delores Lanehart Spinks, FNPC
- Billy Starr, CRNA
- Scott F Steed, MD
- Christina W Stewart
- Natasha Antoinette Stewart
- Evelyn Ann Stiner, PHD FNP
- Tommie Brian Stretch, M.D.
- Kenneth W Stubbs, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.