Michelle Stawiarski

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.06218 Issued in OH

Practice address

20311 Pemberville Rd
Pemberville, OH 43450-9413

Phone

(419) 923-9078

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1679282255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TRAFALGAR BND",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029380",
            "telephone_number": "419-308-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 PEMBERVILLE RD",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434509413",
            "telephone_number": "419-923-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAWIARSKI",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA.06218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OTPTAT  BOARD",
            "identifier": "OTA.06218",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstawiarski@symbria.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20311 Pemberville Rd",
            "city": "Pemberville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434509413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Reimer
• Sara June Riley, COTA/L
• Amanda Rizzo, OTR/L
• April Schuerman, BSN, CCCM, CDCES
• Shawn Lee Thompson DDS Inc
• Asha Mary Thompson, D.P.M.
• Marie Elizabeth Thornton
• Township of Freedom Office of Clerk
• Jon Timothy Truman, DC
• Kristen Trzcinski

• All providers in Pemberville, OH
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.