Individual provider Active NPI

Stephanie Walton

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1548602832
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1716 Issued in NE
Practice address
5710 S 108TH St
Omaha, NE 68137-3592
Phone
(402) 340-3850
NPI assigned
Jul 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 1716 NE Primary

Addresses

Primary practice location

5710 S 108TH St
Omaha, NE 68137-3592

Mailing address

13009 Fowler Cir
Omaha, NE 68164-1726
Phone (402) 340-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151111002347 NE Practitioner - Occupational Therapist in Private Practice 7618287236 Reassigns benefits to 3 organizations
I20211108001051 ND Practitioner - Occupational Therapist in Private Practice 7618287236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1890NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Stone Therapy Inc. CurrentSince Aug 1, 2025 Accepting new patients
Goodcare Athome Rehab, LLC Occupational Therapist CurrentSince May 9, 2023 Accepting new patients
Empowerme Asl, LLC Occupational Therapist CurrentSince May 12, 2021 Accepting new patients

Locations

2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

8140 S 97th Plz
La Vista, NE 68128
Phone (402) 597-0700

1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933

Organizations & group practices 3

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": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1548602832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13009 FOWLER CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641726",
            "telephone_number": "402-340-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 S 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373592",
            "telephone_number": "402-340-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-27",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.