Individual provider Active NPI

Stephanie Loraine Easter, OTR/L

  • Occupational Therapist
  • Hillsboro, MO
National Provider Identifier
1770810368
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009026738 Issued in MO
Practice address
3657 Baptist Park Road
Hillsboro, MO 63028
Phone
(314) 541-1836
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 2009026738 MO Primary

Addresses

Primary practice location

3657 Baptist Park Road
Hillsboro, MO 63028

Mailing address

925 Wellington RDG
Festus, MO 63028-4147
Phone (314) 220-0001

Other practice location 1

801 Brim St
Desloge, MO 63601-3441
Phone (573) 431-0223

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
2009026738MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1770810368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WELLINGTON RDG",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284147",
            "telephone_number": "314-220-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 BAPTIST PARK ROAD",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "314-541-1836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Brim St",
            "address_purpose": "LOCATION",
            "city": "Desloge",
            "state": "MO",
            "postal_code": "636013441",
            "country_code": "US",
            "telephone_number": "573-431-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTER",
        "first_name": "STEPHANIE",
        "middle_name": "LORAINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009026738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.