NPIMap

Individual provider Active NPI

Stephanie Accardo McCloskey, MOT, LOTR, CHT

  • Hand Occupational Therapist
  • Covington, LA
National Provider Identifier
1558664342
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
200385 Issued in LA
Practice address
7003 Highway 190 East Service Rd
Covington, LA 70433-4955
Phone
(985) 801-6265
NPI assigned
Dec 16, 2010
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 200385 LA Primary

Addresses

Primary practice location

7003 Highway 190 East Service Rd
Covington, LA 70433-4955

Mailing address

5012 Wade Dr
Metairie, LA 70003-2750
Phone (504) 352-6285

Other practice location 1

1200 Pinnacle Pkwy Ste 6
Covington, LA 70433-9198
Phone (985) 892-0305

Other names 1

  • Stephanie Accardo Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
200385LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairway Medical Center, LLC CurrentSince Apr 30, 2023 Accepting new patients
Fairway Medical Center, LLC Current Accepting new patients
Avala Physician Network, LLC Hand Past Accepting new patients

Locations

7003 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 801-6265

Interoperability endpoints

  • Direct secure messaging: stephanie@direct.meditouchehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1558664342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 WADE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700032750",
            "telephone_number": "504-352-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 HIGHWAY 190 EAST SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334955",
            "telephone_number": "985-801-6265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Pinnacle Pkwy Ste 6",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704339198",
            "country_code": "US",
            "telephone_number": "985-892-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "STEPHANIE",
        "middle_name": "ACCARDO",
        "name_prefix": "Mrs.",
        "credential": "MOT, LOTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "200385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ACCARDO",
            "credential": "MOT, LOTR, CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.