Active NPI
Steffany Marie Sass, OTR
- Occupational Therapist
- Waverly, IA
National Provider Identifier
1508007055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01614
- Practice address
- 1810 4TH St SW Ste 103a
Waverly, IA 50677-4389 - Phone
- (319) 352-6400
- NPI assigned
- Mar 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01614 | IA | Primary |
| Environmental Modification Occupational Therapist | 225XE0001X | 01614 | IA | |
| Ergonomics Occupational Therapist | 225XE1200X | 01614 | IA | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 01614 | IA | |
| Gerontology Occupational Therapist | 225XG0600X | 01614 | IA | |
| Hand Occupational Therapist | 225XH1200X | 01614 | IA | |
| Human Factors Occupational Therapist | 225XH1300X | 01614 | IA | |
| Low Vision Occupational Therapist | 225XL0004X | 01614 | IA | |
| Mental Health Occupational Therapist | 225XM0800X | 01614 | IA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 01614 | IA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 01614 | IA | |
| Pediatric Occupational Therapist | 225XP0200X | 01614 | IA | |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 01614 | IA |
Addresses
Primary practice location
1810 4TH St SW Ste 103a
Waverly, IA 50677-4389
Mailing address
1810 4TH St SW Ste 103a
Waverly, IA 50677-4389
Phone (319) 352-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665992 | Medicaid | IA | |
| 1982763488 | Other | IA | FACILITY NPI |
Other names 1
- Miss Steffany Marie Moon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01614 | IA | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1508007055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 4TH ST SW STE 103A",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506774389",
"telephone_number": "319-352-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 4TH ST SW STE 103A",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506774389",
"telephone_number": "319-352-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASS",
"first_name": "STEFFANY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01614",
"primary": true
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IA",
"license": "01614",
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "IA",
"license": "01614",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665992",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NPI",
"identifier": "1982763488",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEFFANY",
"last_name": "MOON",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.