Active NPI
Stefanie Marie Byrne, OTR/L
- Occupational Therapist
- Greensboro, AL
National Provider Identifier
1639408610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 66-015578
- Practice address
- 1502 Main St
Greensboro, AL 36744-1552 - Phone
- (334) 624-3950
- Fax
- (334) 624-3960
- NPI assigned
- Dec 21, 2009
- Last updated
- Nov 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 66-015578 | NY | Primary |
Addresses
Primary practice location
1502 Main St
Greensboro, AL 36744-1552
Mailing address
PO Box 3519
Meridian, MS 39303-3519
Phone (601) 581-1191
Other names 1
- Stefanie Marie Michaelsen
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 |
|---|---|---|---|
| 3187 | AL | MD | Mental Health Counselor |
| 66-015578 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1639408610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3519",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393033519",
"telephone_number": "601-581-1191",
"fax_number": "888-501-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 MAIN ST",
"city": "GREENSBORO",
"state": "AL",
"postal_code": "367441552",
"telephone_number": "334-624-3950",
"fax_number": "334-624-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "STEFANIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "66-015578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "MICHAELSEN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greensboro, AL
- American Health Corporation and Subsidiaries (Colonial Haven Health and Rehabilitation)
- Iris Kay Bessiouni, CRNP
- Lindsay Blackburn, SLP
- Meghan Bonds, MD
- Boones Pharmacy Inc (Boone's Pharmacy)
- Caremor Pharmacy LLC
- Kathryn Bea Carter, OTR/L
- Chadwick Dewayne Champion
- Natalie Marie-Safron Chaney
- Franeisha Coleman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.