Jennifer Stucki, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10164 Issued in CA

Practice address

3498 Green Valley Rd
Rescue, CA 95672-9625

Phone

(530) 391-8670

NPI assigned

Jul 30, 2013

Last updated

Jul 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1831521004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10973 WETHERSFIELD DR",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956553067",
            "telephone_number": "530-919-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3498 GREEN VALLEY RD",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729625",
            "telephone_number": "530-391-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKI",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10164",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "10164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Romano, MS, OTR/L
• Irina Igorevna Rudometkina, COTA/L
• Zenzele Shakir, M.S., CCC-SLP
• Hui-Ni Shen
• Sandra Lynne Singleton, ED.D. SLP CCC
• Bronwyn Szignarowitz, D.V.M., M.P.V.M.
• Taylor Made Doulas
• Johanna Thomas
• Lauren Todoroff, MA, PPS
• Sheryl Yetto Trainor, MS, OTR/L

• Pediatric Occupational Therapist in Rescue, CA
• Providers in Rescue, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.