Individual provider Active NPI

Jeffery John Steckler, OTR/L

  • Occupational Therapist
  • Modesto, CA
National Provider Identifier
1336380401
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1308 Issued in CA
Practice address
4660 Spyres Way
Modesto, CA 95356-9804
Phone
(209) 578-3290
Fax
(209) 550-4944
NPI assigned
Mar 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 1308 CA Primary

Addresses

Primary practice location

4660 Spyres Way
Modesto, CA 95356-9804

Mailing address

4660 Spyres Way
Modesto, CA 95356-9804
Phone (209) 578-3290

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Physical, Occupational, Speech and Hand Therapy, Inc. Occupational Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1336380401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SPYRES WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569804",
            "telephone_number": "209-578-3290",
            "fax_number": "209-550-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SPYRES WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569804",
            "telephone_number": "209-578-3290",
            "fax_number": "209-550-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKLER",
        "first_name": "JEFFERY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.