Individual provider Active NPI

Stephanie Tripp, OTR/L

  • Occupational Therapist
  • Lehigh Acres, FL
National Provider Identifier
1801474150
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21597 Issued in FL
Practice address
333 Gordon Ave S
Lehigh Acres, FL 33973-2010
Phone
(239) 281-0500
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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 OT21597 FL Primary

Addresses

Primary practice location

333 Gordon Ave S
Lehigh Acres, FL 33973-2010

Mailing address

333 Gordon Ave S
Lehigh Acres, FL 33973-2010
Phone (239) 281-0500

Other names 1

  • Stephanie Desgazon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221026002821 OR Practitioner - Occupational Therapist in Private Practice 4587030986
I20221102003469 FL Practitioner - Occupational Therapist in Private Practice 4587030986 Reassigns benefits to 1 organization
I20250404001702 AL Practitioner - Occupational Therapist in Private Practice 4587030986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Fox Rehab OT Al LLCGroup PAC ID 6901276484, 21 clinicians
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

Huntsville, AL 35802
Phone (877) 407-3422

12000 Turnmeyer Dr SE
Huntsville, AL 35803-3358
Phone (888) 531-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6559ALMDGeneral Practice Dentistry
OT21597FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab OT Al LLC Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Occupational Therapist CurrentSince Mar 2, 2025 Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1801474150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GORDON AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339732010",
            "telephone_number": "239-281-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GORDON AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339732010",
            "telephone_number": "239-281-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "STEPHANIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DESGAZON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.