Individual provider Active NPI

Devin Elise Stoklosa, OTR/L

  • Occupational Therapist
  • Webster, NY
National Provider Identifier
1710409537
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
021642 Issued in NY
Practice address
700 Cottage Brook LN
Webster, NY 14580-8654
Phone
(585) 797-9366
Fax
(585) 486-1230
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 021642 NY Primary

Addresses

Primary practice location

700 Cottage Brook LN
Webster, NY 14580-8654

Mailing address

700 Cottage Brook LN
Webster, NY 14580-8654
Phone (585) 797-9366

Other names 1

  • Devin Elise Bosch Former name

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
021642NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leap OT, PT & SLP PLLC PastSince Jul 25, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1710409537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COTTAGE BROOK LN",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808654",
            "telephone_number": "585-797-9366",
            "fax_number": "585-486-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COTTAGE BROOK LN",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808654",
            "telephone_number": "585-797-9366",
            "fax_number": "585-486-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKLOSA",
        "first_name": "DEVIN",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVIN",
            "last_name": "BOSCH",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.