Active NPI
Joyce G Stahly, OT, CHT
- Hand Occupational Therapist
- Bend, OR
National Provider Identifier
1609996362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 9410000312
- Practice address
- 1303 NE Cushing Dr
Suite 150
Bend, OR 97701-3891 - Phone
- (541) 382-7875
- Fax
- (541) 382-2181
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 975026 | OR | |
| Hand Occupational Therapist | 225XH1200X | 9410000312 | OR | Primary |
Addresses
Primary practice location
1303 NE Cushing Dr
Suite 150
Bend, OR 97701-3891
Mailing address
805 SW Industrial Way
Suite 3
Bend, OR 97702-1093
Phone (541) 585-2529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278178 | Medicaid | OR | |
| P01270257 | Other | OR | RR MEDICARE |
Other names 1
- Joyce Gronsten
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9410000312 | OR | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Occupational Therapist | Past | Accepting new patients |
| Cascade Hand Therapy Inc | Occupational Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Bend, OR
- NPI 1871608232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1609996362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SW INDUSTRIAL WAY",
"address_2": "SUITE 3",
"city": "BEND",
"state": "OR",
"postal_code": "977021093",
"telephone_number": "541-585-2529",
"fax_number": "541-585-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 NE CUSHING DR",
"address_2": "SUITE 150",
"city": "BEND",
"state": "OR",
"postal_code": "977013891",
"telephone_number": "541-382-7875",
"fax_number": "541-382-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHLY",
"first_name": "JOYCE",
"middle_name": "G",
"credential": "OT, CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "975026",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OR",
"license": "9410000312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278178",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01270257",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOYCE",
"last_name": "GRONSTEN",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.