NPIMap

Organization Active NPI

Stepping Stone Pediatric Therapy, Inc.

  • Occupational Therapist
  • Florence, AL
National Provider Identifier
1447542014
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
STEPPING STONE PEDIATRIC THERAPY, INC.
Practice address
465 East Dr. Hicks Blvd.
Florence, AL 35630-5762
Phone
(256) 767-1576
Fax
(256) 767-1577
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Mr. David Lee Ainsworth
Title
Ceo
Phone
(256) 767-1576

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

465 East Dr. Hicks Blvd.
Florence, AL 35630-5762

Mailing address

465 East Dr. Hicks Blvd.
Florence, AL 35630-5762
Phone (256) 767-1576

Other identifiers 2

IdentifierTypeStateIssuer
132065MedicaidAL
511-87575OtherALBCBS OF ALABAMA

National Provider Directory

National Provider Directory

Locations

143 Ana Dr
Florence, AL 35630
Phone (256) 483-7067

465 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 767-1576

405 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 366-2798

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1447542014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 EAST DR. HICKS BLVD.",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305762",
            "telephone_number": "256-767-1576",
            "fax_number": "256-767-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 EAST DR. HICKS BLVD.",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305762",
            "telephone_number": "256-767-1576",
            "fax_number": "256-767-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONE PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-767-1576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132065",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "511-87575",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.