Individual provider Active NPI

Stephanie Lynn Lendroth, OTD, OTR/L

  • Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1497424212
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008598 Issued in AZ
Practice address
3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Phone
(520) 488-5291
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 008598 AZ Primary

Addresses

Primary practice location

3988 E Fort Lowell Rd
Tucson, AZ 85712-1010

Mailing address

2877 N Ramie PL
Tucson, AZ 85745-8724
Phone (203) 859-4246

Other practice location 1

6264 E Grant Rd
Tucson, AZ 85712-5882
Phone (520) 884-0001

Other practice location 2

10445 N Oracle Rd
Tucson, AZ 85737-9358
Phone (520) 884-0001

Other identifiers 1

IdentifierTypeStateIssuer
104631MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sol-pt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203002266 AZ Practitioner - Occupational Therapist in Private Practice 7810387925 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008598AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbelt Medical Group LLC CurrentSince Sep 13, 2021 Accepting new patients
Sunbelt Medical Group LLC CurrentSince Sep 13, 2021 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP CurrentSince Oct 28, 2024 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Current Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Occupational Therapist Past Accepting new patients

Locations

3455 Canyon de Flores
Ste B2
Sierra Vista, AZ 85650
Phone (520) 803-9727

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

1802 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 205-7520

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

1777 W Saint Marys Rd
Ste 121
Tucson, AZ 85745
Phone (520) 884-9819

10445 N Oracle Rd
Tucson, AZ 85737
Phone (520) 488-1133

3988 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 209-1919

6130 N La Cholla Blvd
Ste 111
Tucson, AZ 85741
Phone (520) 469-8168

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1497424212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 N RAMIE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857458724",
            "telephone_number": "203-859-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121010",
            "telephone_number": "520-488-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6264 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857125882",
            "country_code": "US",
            "telephone_number": "520-884-0001",
            "fax_number": "520-884-0199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10445 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857379358",
            "country_code": "US",
            "telephone_number": "520-884-0001",
            "fax_number": "520-689-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENDROTH",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "008598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104631",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sol-pt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3988 E Fort Lowell Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857121010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.