Scott G. Stevens, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT569 Issued in ID

Practice address

4473 Fox CT
Chubbuck, ID 83202-2670

Phone

(208) 234-9344

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821161522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 DIANE LN",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832011906",
            "telephone_number": "208-234-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 FOX CT",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022670",
            "telephone_number": "208-234-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SCOTT",
        "middle_name": "G.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Stadler, FNP-C
• Cameron Staley, PSYCHOLOGIST
• Kandralyn Steele, PPCNP-BC
• Sara Stengel, LCPC
• Sterling Provider Group
• Jill M Stewart, LMSW
• Stoddard Medical, Inc
• Earl Stoddard, M.D.
• Streamline Chiropractic PLLC
• Erin Kathleen Sullivan Baker, RN M COUN,LPC MS PHD

• All providers in Chubbuck, ID
• Occupational Therapist in Idaho

• 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.