Austyn Haley Stills

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2465 Issued in OK

Practice address

1805 N York St Ste H
Muskogee, OK 74403-1442

Phone

(918) 912-2796

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Austyn Haley Otterbine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• 40:31 Rehab & Wellness, PLLC.

  • Occupational Therapist
  • Muskogee, OK
  • NPI 1578081634

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1487365417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 OKLAHOMA ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011473",
            "telephone_number": "918-310-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N YORK ST STE H",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031442",
            "telephone_number": "918-912-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLS",
        "first_name": "AUSTYN",
        "middle_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTYN",
            "last_name": "OTTERBINE",
            "middle_name": "HALEY",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey Jo Stevenson
• Candace Yolande Stewart, OD
• Maryah Dawn Stewart
• Robert Samuel Stewart
• Kamie Nichole Stidham
• Tara Elizabeth Stills
• Kiarrah Stinnett, RN
• Kiara Paige Stinson
• Logan Ray Stinson
• Angela Marie Stockton

• Occupational Therapy Assistant in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.