Individual provider Active NPI

Stefanie A Strange, MS OTR/L

  • Occupational Therapist
  • Talbott, TN
National Provider Identifier
1477736569
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3309 Issued in TN
Practice address
6057 W Andrew Johnson Hwy
Suite 4
Talbott, TN 37877-8676
Phone
(423) 586-9495
Fax
(423) 586-9549
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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 3309 TN Primary

Addresses

Primary practice location

6057 W Andrew Johnson Hwy
Suite 4
Talbott, TN 37877-8676

Mailing address

6057 W Andrew Johnson Hwy
Suite 4
Talbott, TN 37877-8676
Phone (423) 586-9495

Other identifiers 1

IdentifierTypeStateIssuer
446679OtherTNMEDICARE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3309TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1477736569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 W ANDREW JOHNSON HWY",
            "address_2": "SUITE 4",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778676",
            "telephone_number": "423-586-9495",
            "fax_number": "423-586-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 W ANDREW JOHNSON HWY",
            "address_2": "SUITE 4",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778676",
            "telephone_number": "423-586-9495",
            "fax_number": "423-586-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANGE",
        "first_name": "STEFANIE",
        "middle_name": "A",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "446679",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talbott, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.