Active NPI
Georgia Stachura, OTR
- Occupational Therapist
- Richmond, MI
National Provider Identifier
1699975516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201000176
- Practice address
- 30085 Armada Ridge Rd
Richmond, MI 48062-4635 - Phone
- (313) 300-4861
- NPI assigned
- Jul 19, 2007
- 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 | 5201000176 | MI | Primary |
Addresses
Primary practice location
30085 Armada Ridge Rd
Richmond, MI 48062-4635
Mailing address
30085 Armada Ridge Rd
Richmond, MI 48062-4635
Phone (313) 300-4861
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201000176 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1699975516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30085 ARMADA RIDGE RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480624635",
"telephone_number": "313-300-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30085 ARMADA RIDGE RD",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480624635",
"telephone_number": "313-300-4861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHURA",
"first_name": "GEORGIA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201000176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, MI
- Eric A Snyder, PTA
- Corey Soper, LMSW, CAADC, CCS
- St. Clair Oral and Maxillofacial Surgery PLLC
- St. Clair Oral and Maxillofacial Surgery PLLC
- St. Clair Oral and Maxillofacial Surgery PLLC
- Alicia Marie Starkey
- Scott Michael Steenbergh, DP-C
- Abby Elaine Stewart
- Tammy Michelle Stinson
- Cynthia Lee Stovall, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.