Tanner Scott Stevens, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

477927 Issued in OR

Practice address

14420 SW Farmington Rd
Beaverton, OR 97005-2504

Phone

(503) 610-5157

NPI assigned

Jan 12, 2023

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1336853399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW 118TH AVE APT 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295970",
            "telephone_number": "541-588-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 SW FARMINGTON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052504",
            "telephone_number": "503-610-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 SW Boundary St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972211019",
            "country_code": "US",
            "telephone_number": "503-535-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TANNER",
        "middle_name": "SCOTT",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "477927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eryn-Michelle Stephenson
• Mariahm Stephenson, CHES
• Trevor Stephenson, P.T.
• Daniel Payton Sterba, M.D.
• Meridith Louise Stevens
• Alison Stewart-Dunham, MS
• Makeda Marion Stewart, CD
• Michael Ryan Stewart
• Tamara Stewart, QMHA
• Stillness and Movement LLC

• Occupational Therapy Assistant in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.