Active NPI
Brian D Stephenson
- Occupational Therapist
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009815
- Practice address
- 1634 11TH St
Portsmouth, OH 45662 - Phone
- (740) 351-1503
- Fax
- (740) 353-3083
- NPI assigned
- Mar 17, 2013
- Last updated
- Aug 12, 2019
- Sex
- Male
- 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 | OT009815 | OH | Primary |
Addresses
Primary practice location
1634 11TH St
Portsmouth, OH 45662
Mailing address
1634 11TH St
Portsmouth, OH 45662-4526
Phone (740) 351-1503
Other practice location 1
280 Sweetwater Ln
Grayson, KY 41143-1748
Phone (606) 923-2853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1634 11TH St
Portsmouth, OH 45662-4526
Phone (740) 355-7102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Community Health | Current | Accepting new patients | |
| Compass Community Health | Current | Accepting new patients | |
| Pathways, Inc | Current | Accepting new patients | |
| Compass Community Health | Current | Accepting new patients | |
| Pathways Inc | Current | Accepting new patients | |
| Paige Smith Therapeutics, PLLC | Past | Accepting new patients | |
| Paige Smith Therapeutics, PLLC | Past | Accepting new patients |
Locations
3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005
1634 11th St
Portsmouth, OH 45662
Phone (740) 355-7102
1656 Coles Blvd
#A
Portsmouth, OH 45662
Phone (740) 355-7102
Interoperability endpoints
- brian.stephenson.p1@direct.compass-share.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Portsmouth, OH
- NPI 1174047658
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1982615043
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1588916126
-
- Federally Qualified Health Center (FQHC)
- Portsmouth, OH
- NPI 1902298466
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1609260199
-
- Home Health Agency
- Grayson, KY
- NPI 1477895423
-
- Early Intervention Provider Agency
- Grayson, KY
- NPI 1689017436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1467794412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 11TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624526",
"telephone_number": "740-351-1503",
"fax_number": "740-353-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 11TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "45662",
"telephone_number": "740-351-1503",
"fax_number": "740-353-3083"
}
],
"practiceLocations": [
{
"address_1": "280 Sweetwater Ln",
"address_purpose": "LOCATION",
"city": "Grayson",
"state": "KY",
"postal_code": "411431748",
"country_code": "US",
"telephone_number": "606-923-2853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENSON",
"first_name": "BRIAN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-17",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT009815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.