Individual provider Active NPI

Sharon Elana Stimmell, COTA

  • Occupational Therapy Assistant
  • Coral Springs, FL
National Provider Identifier
1649550765
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5169 Issued in AZ
Practice address
5830 Coral Ridge Dr
S- 120
Coral Springs, FL 33076-3392
Phone
(866) 425-5768
NPI assigned
Aug 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5169 AZ Primary

Addresses

Primary practice location

5830 Coral Ridge Dr
S- 120
Coral Springs, FL 33076-3392

Mailing address

1116 Desert Nights LN
Bullhead City, AZ 86429-5977
Phone (423) 693-6231

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
5169AZMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1649550765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 DESERT NIGHTS LN",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864295977",
            "telephone_number": "423-693-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 CORAL RIDGE DR",
            "address_2": "S- 120",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763392",
            "telephone_number": "866-425-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMMELL",
        "first_name": "SHARON",
        "middle_name": "ELANA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-20",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "5169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.