Victoria D St.Mire, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A02627 Issued in MD

Practice address

410 E Macphail Rd
Bel Air, MD 21014-4410

Phone

(410) 879-1120

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1730661265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CUMMINGS AVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124008",
            "telephone_number": "856-227-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MACPHAIL RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144410",
            "telephone_number": "410-879-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.MIRE",
        "first_name": "VICTORIA",
        "middle_name": "D",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009390",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09100700",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Springer, LCSW-C
• Usha Srinivasan, MD
• SSC Bel Air Operating Company LLC (Bel Air Health and Rehabilitation Center)
• St Paul Place Specialists, Inc.
• St. Agnes Healthcare, Inc.
• Jennifer Stachowiak, LCPC
• Noel Stallmann, CRNP
• Charles David Stancliff, D.P.M.
• Julie Stancliff, DO
• Michael Stangroom, DPT

• Occupational Therapy Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.