Active NPI
Stephanie Lynn Thompson, COTA/L
- Occupational Therapy Assistant
- Spofford, NH
National Provider Identifier
1417267998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0595
- Practice address
- 416 Route 9a
Spofford, NH 03462-4115 - Phone
- (603) 852-8959
- NPI assigned
- Oct 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0730000200 | VT | |
| Occupational Therapy Assistant | 224Z00000X | 0595 | NH | Primary |
Addresses
Primary practice location
416 Route 9a
Spofford, NH 03462-4115
Mailing address
416 Route 9a
Spofford, NH 03462-4115
Phone (603) 852-8959
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0730000200 | VT | MD | Occupational Therapy Assistant |
| 0595 | NH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Chausse, LLC | Past | Accepting new patients | |
| Bembe-Chausse, LLC | Past | Accepting new patients |
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": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1417267998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 ROUTE 9A",
"city": "SPOFFORD",
"state": "NH",
"postal_code": "034624115",
"telephone_number": "603-852-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 ROUTE 9A",
"city": "SPOFFORD",
"state": "NH",
"postal_code": "034624115",
"telephone_number": "603-852-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VT",
"license": "0730000200",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NH",
"license": "0595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spofford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.