Stefanie K Rodabaugh, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004343A Issued in IN

Practice address

2511 N Lommel LN
Marion, IN 46952-1151

Phone

(765) 661-2994

NPI assigned

Mar 23, 2007

Last updated

Sep 3, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exhale Therapy and Wellness LLC

  • Occupational Therapist
  • Marion, IN
  • NPI 1922675156
  Medicare reassignment NPD Authorized official
• Exhale Therapy and Wellness

  • Occupational Therapist
  • Fishers, IN
  • NPI 1154244762
  NPD (past) Authorized official
• Hand in Hand Therapy

  • Early Intervention Provider Agency
  • Fort Wayne, IN
  • NPI 1912551524
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1790802742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 N LOMMEL LN",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 N LOMMEL LN",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521151",
            "telephone_number": "765-661-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODABAUGH",
        "first_name": "STEFANIE",
        "middle_name": "K",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004343A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaela Christine Robey, RBT-24-382138
• Kabriel Robinson
• Christina Robles, NP
• Wanda Roby, LPN
• Christina D Rockwell, LPN
• David Gordon Roe, M.D.
• Aniyah Rogers, RBT
• Stephanie Rollo
• Christine M Root, DDS
• William Michael Roper, M.D.

• Occupational Therapist in Marion, IN
• Providers in Marion, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.