Stephanie Emma Tatem-Paige, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17705 Issued in FL

Practice address

617 W Dixie Ave
Leesburg, FL 34748-2602

Phone

(352) 805-4404

Fax

(352) 805-4407

NPI assigned

Jan 15, 2018

Last updated

Jul 10, 2024By 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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prosper Therapy

  • Physical Therapist
  • Ocala, FL
  • NPI 1679374144
  Medicare reassignment NPD
• Olive Branch Medical LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1427844869
  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1366950115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17523 DORIS ST",
            "city": "MONTVERDE",
            "state": "FL",
            "postal_code": "347563167",
            "telephone_number": "352-615-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482602",
            "telephone_number": "352-805-4404",
            "fax_number": "352-805-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEM-PAIGE",
        "first_name": "STEPHANIE",
        "middle_name": "EMMA",
        "name_prefix": "Ms.",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Tan Jr., PA-C
• Vijayakumar Tanjavur, M.D.
• Cedric J Tankson, M.D.
• Taps Transportation LLC
• Target Corporation (Target Pharmacy)
• Angela L Tatro, FNP-C
• Lee D Tatro, DDS
• Aja Antrea Taylor
• Latonda Denice Taylor, BSW
• Tiffany Taylor, APRN

• Occupational Therapist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.