Stanley Houston, OTA
Individual provider Active NPI Occupational Therapy Assistant · Heathrow, FL
NPI 1548457781 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1548457781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OC00001252 (WA)
- Practice address
- 1485 International Pkwy
#2051
Heathrow, FL 32746-5303 - Phone
- (800) 798-6035
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| OC00001252 | WA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voyage Staffing | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC00001252 | WA | Yes |
Addresses
Primary practice location
1485 International Pkwy
#2051
Heathrow, FL 32746-5303
Mailing address
4913 Plomondon St
Apt.# 22
Vancouver, WA 98661-6163
Other providers in Heathrow, FL
- Brenda Nicole Hawkins
- Angela Hays
- Margaret Hogle
- Margaree Gaynell Hood
- Braden Hostetler
- Lila Hurst
- Cyndi Anne Hyde
- David L Hyde
- Kelly Isenhoff
- Annie Jackson
All providers in Heathrow, FL · Occupational Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 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.