Savannah Rose Stovall, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC011760 Issued in PA

Practice address

4227 Manor Dr
Stroudsburg, PA 18360-9451

Phone

(570) 992-4172

NPI assigned

Feb 24, 2011

Last updated

Feb 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Functional Pathways of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1922218122

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1316244486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SHENANDOAH TRL",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183308949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MANOR DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609451",
            "telephone_number": "570-992-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "SAVANNAH",
        "middle_name": "ROSE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc. (St. Luke's Stroudsburg Internal Medicine)
• Leah Stahler, PA-C
• Robert J Starner, DDS
• Lubomira Stieber
• Nicole Strausberger, CRNP
• Stroud Compounding and Wellness Drugstore Corp
• Stroud Compounding and Wellness Drugstore, Corp
• Stroud Express
• Stroud Pediatrics, LLC

• Occupational Therapist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.