Stephanie Dudley

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119007318 Issued in VA

Practice address

3900 Jermantown Rd
Fairfax, VA 22030-4900

Phone

(703) 910-5006

NPI assigned

Sep 17, 2014

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creative Health Solutions LLC

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1750521779
  NPD (past)
• Mercy Rehab Services Inc

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1467259309

  Occupational Therapist

  NPD (past)
• Mercy Rehab Services Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
  • NPI 1508821406
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1740682137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 250",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304946",
            "telephone_number": "703-910-5006",
            "fax_number": "888-314-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304900",
            "telephone_number": "703-910-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Old Alice Rd",
            "address_2": "suite 600",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208268",
            "country_code": "US",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007318",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.dudley@creativehealthllc.com",
            "affiliation": "N",
            "address_1": "3900 Jermantown Rd",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220304900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Ann Dubois, M.S.
• Widney M Dubuisson
• Shannon Duckworth
• Vanessa Angela N Duco, NP
• Catherine Elizabeth Dudek, DPT
• Shelby Marie Duffer, MS, CGC
• Lynn F Duffy, M.D.
• Craig R Dufresne, M.D., F.A.C.S.
• Mary L Duggan, NP
• Lorena Dujmusic, MGCS, LCGC

• Occupational Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.