Stephanie Martin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2023040512 Issued in MO

Practice address

1 Bronze Pointe Blvd Ste 2a
Swansea, IL 62226-1045

Phone

(833) 587-1784

NPI assigned

Dec 12, 2023

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Hope Clinical Care

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1467590125

  Occupational Therapist

  NPD (past)
• Positive Development of California PC

  • Psychologist
  • Whittier, CA
  • NPI 1538769617

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1386412013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRONZE POINTE BLVD STE 2A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261045",
            "telephone_number": "833-587-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRONZE POINTE BLVD STE 2A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261045",
            "telephone_number": "833-587-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2023040512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markarian Orthodontics LLC
• Randall Craig Markarian, D.M.D., M.S.
• Ronald Curtis Markarian, D.M.D., M.S., P.C.
• Melissa Marko, AUD
• David Stewart Martin, D.C.
• Dirk F Massie, OD
• Master Medical Care LLC
• Cody V Mathews
• John A Mattingly, MD
• Rockael Mays

• Occupational Therapist in Swansea, IL
• Providers in Swansea, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.