Stephanie Rickrode, O.T.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

2150 Alt 19 Ste a
Palm Harbor, FL 34683-5363

Phone

(727) 773-2687

Fax

(277) 773-2742

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1720433741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 ALT 19 STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835363",
            "telephone_number": "727-773-2687",
            "fax_number": "277-773-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 ALT 19 STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835363",
            "telephone_number": "727-773-2687",
            "fax_number": "277-773-2742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Vonderburg Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115900",
            "country_code": "US",
            "telephone_number": "813-653-1149",
            "fax_number": "813-654-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKRODE",
        "first_name": "STEPHANIE",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17636",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017352000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard O Wolkind
• Ann M. Richards, LCSW
• Jeremy Richardson, P.T.A
• Andrew Richey, LCSW
• Robin R. Richins, NP
• Ridgemoor Dental Arts, Inc.
• Courtney Jean Rigby, APRN
• Kimberly B Rihel, P.T.
• Haley Morgan Rinderle, OTR/L
• Sandra L Risoldi, DNP, AAPRN, PMHNP

• Pediatric Occupational Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.