Stephanie Adams
Individual provider Active NPI Occupational Therapy Assistant · Grand Rapids, MI
NPI 1497956353 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497956353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5202006879 (MI)
- Practice address
- 1551 Franklin St SE
Grand Rapids, MI 49506-8203 - Phone
- (616) 452-1666
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202006879 | MI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202006879 | MI | Yes |
Addresses
Primary practice location
1551 Franklin St SE
Grand Rapids, MI 49506-8203
Mailing address
5399 Hall St SE
Grand Rapids, MI 49546-3837
NPI Registry JSON
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497956353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5399 HALL ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 FRANKLIN ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495068203",
"telephone_number": "616-452-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202006879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
- Matthew Glenn Adams
- Penny Nicole Adams
- Sandra M Adams
- Spencer Adams
- Stacie Diane Adams
- Terri M Adams
- Megan Adamski
- Dane Michael Addington
- Emily Jane Addington
- Address Healthcare of Michigan PLLC
All providers in Grand Rapids, MI · Occupational Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.