Stephanie Marie Scruggs

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

405 6TH St N
Humboldt, IA 50548-1425

Phone

(515) 570-5844

NPI assigned

Sep 8, 2022

Last updated

Sep 20, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1386365161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 6TH ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 6TH ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481425",
            "telephone_number": "515-570-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmini Rasakulasuriar, MD
• Jacob Eugene Rittgers, D.C.
• David Ruzicka, DO
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• Sarah Jo Schluter, MSN ARNP FNP
• Short Physical Therapy, PLLC
• Daryl Short, DPT,MTC
• Sister's Home Style Entrees
• Shanna Renae Studer, O.D.
• Lucas Daniel Sulentic

• Pediatric Occupational Therapist in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Pediatric Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.