Individual provider Active NPI

Stephen Shane Tompa, OTR/L

  • Occupational Therapist
  • Auburn Hills, MI
National Provider Identifier
1619234010
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008263 Issued in MI
Practice address
3100 Cross Creek Pkwy
Ste. 150
Auburn Hills, MI 48326-2774
Phone
(248) 475-0565
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 5201008263 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy
Ste. 150
Auburn Hills, MI 48326-2774

Mailing address

3100 Cross Creek Pkwy
Ste. 150
Auburn Hills, MI 48326-2774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stompa61502@direct.hfhs.org

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
5201008263MIMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: stompa61502@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1619234010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "STE. 150",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "STE. 150",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-475-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPA",
        "first_name": "STEPHEN",
        "middle_name": "SHANE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stompa61502@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.