Active NPI
Eileen D. Stanley, OTR
- Pediatric Occupational Therapist
- Victoria, TX
National Provider Identifier
1346521960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 106356
- Practice address
- 117 Medical Dr
Suite 4
Victoria, TX 77904-3102 - Phone
- (361) 575-0681
- NPI assigned
- Sep 9, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 106356 | TX | Primary |
Addresses
Primary practice location
117 Medical Dr
Suite 4
Victoria, TX 77904-3102
Mailing address
117 Medical Dr
Suite 4
Victoria, TX 77904-3102
Phone (361) 575-0681
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 |
|---|---|---|---|
| 106356 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1346521960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MEDICAL DR",
"address_2": "SUITE 4",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102",
"telephone_number": "361-575-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MEDICAL DR",
"address_2": "SUITE 4",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102",
"telephone_number": "361-575-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "EILEEN",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "106356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.