Stephanie C Bywater, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Lumberton, TX
NPI 1619208923 · NPPES record last updated Oct 19, 2025
Key facts
- NPI
- 1619208923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 125577 (TX)
- Practice address
- 7609 S Boardwalk
Lumberton, TX 77657-6922 - Phone
- (770) 601-6648
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 14331 | FL | MD | Occupational Therapist |
| 125577 | TX | MD | Occupational Therapist |
| 7377 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Learners Pediatric Therapy LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 14331 | FL | |
| Pediatric Occupational Therapist | 225XP0200X | 7377 | NC | |
| Occupational Therapist | 225X00000X | 125577 | TX | Yes |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
7609 S Boardwalk
Lumberton, TX 77657-6922
Mailing address
7609 S Boardwalk
Lumberton, TX 77657-6922
Phone (770) 601-6648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113199700 | Medicaid | FL |
Other providers in Lumberton, TX
- Brookshire Brothers Inc
- Natosha Brown
- Regan Susanne Mougia Burkey
- Wesley Chase Burkhalter
- Brian Butler
- Care Center Lumberton, LTD
- Alexandria Cimo
- Suzanne Cockrell
- David Cook
- Michael Cook
All providers in Lumberton, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.