Steven Joseph Stoklosa, OT R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003952 Issued in GA

Practice address

155 Leland Ferrell Dr
Leesburg, GA 31763-4559

Phone

(229) 446-0692

NPI assigned

Jan 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588644538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LELAND FERRELL DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634559",
            "telephone_number": "229-446-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LELAND FERRELL DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634559",
            "telephone_number": "229-446-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKLOSA",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "credential": "OT R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Smith, MSW
• Lisa Ritter Speir, CCC-SLP
• Stat Lab Solutions
• Samara Sterling, PHD, RD, DIPACLM
• Lauren Lane Stoklosa, SPEECH PATHOLOGIST
• Marcia Wynn Stoler, RDH
• Tyler Ray Strom, DMD
• Sullivan Drug Company (The Pharmhouse)
• Shana Sullivan, PHARMD
• Sumter Pediatrics LLC (Sumter Pediatrics)

• Occupational Therapist in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.