Individual provider Active NPI

Stephanie Edwards, OTR

  • Occupational Therapist
  • Harker Heights, TX
National Provider Identifier
1598379141
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121079 Issued in TX
Practice address
716 Indian TRL Ste 140
Harker Heights, TX 76548-5702
Phone
(254) 213-2952
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 121079 TX Primary

Addresses

Primary practice location

716 Indian TRL Ste 140
Harker Heights, TX 76548-5702

Mailing address

716 Indian TRL Ste 140
Harker Heights, TX 76548-5702
Phone (254) 213-2952

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

LicenseStateTypeSpecialty
121079TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeds Works LLC Occupational Therapist CurrentSince Dec 15, 2024 Accepting new patients
Absolute Therapy, LLC Past Accepting new patients

Locations

716 Indian Trl
Ste 140
Harker Heights, TX 76548
Phone (254) 213-2952

Organizations & group practices 2

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1598379141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 INDIAN TRL STE 140",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485702",
            "telephone_number": "254-213-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 INDIAN TRL STE 140",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485702",
            "telephone_number": "254-213-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "STEPHANIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.