Active NPI
Stephanie Wellman, OTR/L
- Pediatric Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1528428836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6486
- Practice address
- 5350 E Taylor St
Apt 132
Phoenix, AZ 85008-6746 - Phone
- (260) 251-9087
- NPI assigned
- Feb 29, 2016
- Last updated
- Feb 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 6486 | AZ | Primary |
Addresses
Primary practice location
5350 E Taylor St
Apt 132
Phoenix, AZ 85008-6746
Mailing address
5350 E Taylor St
Apt 132
Phoenix, AZ 85008-6746
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 |
|---|---|---|---|
| 6486 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1528428836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 E TAYLOR ST",
"address_2": "APT 132",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 E TAYLOR ST",
"address_2": "APT 132",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086746",
"telephone_number": "260-251-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMAN",
"first_name": "STEPHANIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "6486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.