Derek Stockwell, C.O.T.A

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32003059A Issued in IN

Practice address

2701 Chestnut Station CT
Louisville, KY 40299-6395

Phone

(800) 335-1060

NPI assigned

Jan 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1770020893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28998 DANIELSON DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141140",
            "telephone_number": "616-635-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHESTNUT STATION CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996395",
            "telephone_number": "800-335-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "DEREK",
        "credential": "C.O.T.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32003059A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Ann Stocks, APRN
• Christie A Stocksdale, RPH
• Graham Robert Stocksdale
• Shiloh Ann Stocksdale, APRN
• Audrey Stockwell, PT
• Marcus F. Stoddard, MD
• Mary Ann Stoddard, RD
• Samuel H Stodghill, PSY.D
• Lisa Stoflet
• Lisa Stogner, RD, LD

• All providers in Louisville, KY
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.