Individual provider Active NPI

Brian D Stephenson

  • Occupational Therapist
  • Portsmouth, OH
National Provider Identifier
1467794412
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009815 Issued in OH
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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 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, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170203002669 KY Practitioner - Occupational Therapist in Private Practice 2062795636 Reassigns benefits to 1 organization
I20200805002705 OH Practitioner - Occupational Therapist in Private Practice 2062795636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Compass Community HealthGroup PAC ID 1759516693, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Compass Community Health Current Accepting new patients
Compass Community Health CurrentSince Jun 2, 2020 Accepting new patients
Pathways, Inc CurrentSince Dec 24, 2016 Accepting new patients
Compass Community Health CurrentSince Jun 2, 2020 Accepting new patients
Pathways Inc CurrentSince Dec 24, 2016 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.