Individual provider Active NPI

Stephanie B Tadla, OT

  • Occupational Therapist
  • Youngstown, OH
National Provider Identifier
1396269254
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009856 Issued in OH
Practice address
8591 Crossroads Drive
Youngstown, OH 44514
Phone
(330) 758-0577
Fax
(330) 758-0466
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT009856 OH Primary

Addresses

Primary practice location

8591 Crossroads Drive
Youngstown, OH 44514

Mailing address

8591 Crossroads Drive
Youngstown, OH 44514
Phone (330) 758-0577

Other practice location 1

1695 Niles Cortland Rd NE
Warren, OH 44484-1165
Phone (330) 758-0577

Other names 1

  • Stephanie B Andrews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205001439 OH Practitioner - Occupational Therapist in Private Practice 2062779713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngstown Orthopaedic Associates LTDGroup PAC ID 4587559562, 37 clinicians

Practice addresses (Care Compare)

6470 Tippecanoe Rd
Canfield, OH 44406-7036
Phone (330) 758-0577

Merit-based Incentive Payment System (MIPS)

Final score
70.01 of 100Reported as group
Quality
64.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Youngstown Orthopaedic Associates LTD CurrentSince Jul 31, 2017 Accepting new patients
Youngstown Orthopaedic Associates LTD PastSince Jul 31, 2017 Accepting new patients

Locations

6470 Tippecanoe Rd
Canfield, OH 44406
Phone (330) 729-2737

1695 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 758-0577

8591 Crossroads Dr
Youngstown, OH 44514
Phone (330) 758-0577

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1396269254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8591 CROSSROADS DRIVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44514",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8591 CROSSROADS DRIVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44514",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841165",
            "country_code": "US",
            "telephone_number": "330-758-0577",
            "fax_number": "234-806-3948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADLA",
        "first_name": "STEPHANIE",
        "middle_name": "B",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT009856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ANDREWS",
            "middle_name": "B",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.