Active NPI
Stephanie L. Wilcher, O.T.
- Occupational Therapist
- Philadelphia, MS
National Provider Identifier
1396934790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2121
- Practice address
- 180 Canal PL
Philadelphia, MS 39350-8908 - Phone
- (601) 650-0002
- Fax
- (601) 650-9902
- NPI assigned
- Oct 22, 2007
- Last updated
- Nov 5, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2121 | MS | Primary |
Addresses
Primary practice location
180 Canal PL
Philadelphia, MS 39350-8908
Mailing address
180 Canal PL
Philadelphia, MS 39350-8908
Phone (601) 650-0002
Other names 1
- Stephanie Lynn Johnson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2121 | MS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288915200000",
"number": "1396934790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 CANAL PL",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393508908",
"telephone_number": "601-650-0002",
"fax_number": "601-650-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 CANAL PL",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393508908",
"telephone_number": "601-650-0002",
"fax_number": "601-650-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCHER",
"first_name": "STEPHANIE",
"middle_name": "L.",
"name_prefix": "Miss",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2010-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT2121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "JOHNSON",
"middle_name": "LYNN",
"credential": "O.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.