Kathleen Marie Stachowski, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1766 Issued in OH

Practice address

1 Wyoming St
Dayton, OH 45409-2722

Phone

(937) 208-4180

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Marie Luersman Former name

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811105703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 QUEENSGATE RD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669726",
            "telephone_number": "937-748-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHOWSKI",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LUERSMAN",
            "middle_name": "MARIE",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Staarmann, MD
• Meredith Staas, APRN, FNP-BC
• Iva Catherine Staats, P.T.
• Julie Marie Staats, O.D.
• Trevar Staches
• Sierra Stacy, CDCA
• Adisen Stadem
• Carol Lynn Stadler, PHARMD
• Melinda K Stafford
• Lauren Stagnaro

• Occupational Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.