Individual provider Active NPI

Stephanie Lewis, OTR

  • Occupational Therapist
  • Plymouth, IN
National Provider Identifier
1841091477
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31003977A Issued in IN
Practice address
635 Oakhill Ave
Plymouth, IN 46563-3064
Phone
(574) 936-9981
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 31003977A IN Primary

Addresses

Primary practice location

635 Oakhill Ave
Plymouth, IN 46563-3064

Mailing address

9957 Allisonville Rd
Fishers, IN 46038-2006
Phone (317) 841-7005

Other practice location 1

730 School St
Culver, IN 46511-1027
Phone (574) 842-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611002025 IN Practitioner - Occupational Therapist in Private Practice 1850863754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

644 E 9TH St
Indianapolis, IN 46202-3463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31003977AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare Inc Occupational Therapist CurrentSince Mar 24, 2025 Accepting new patients
Theracare Inc. Occupational Therapist CurrentSince Mar 24, 2025 Accepting new patients

Locations

9957 Allisonville Rd
Fishers, IN 46038
Phone (317) 841-7005

1415 Lincolnway W
Ste M
Osceola, IN 46561
Phone (574) 607-1122

Organizations & group practices 2

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": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1841091477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9957 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382006",
            "telephone_number": "317-841-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 OAKHILL AVE",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465633064",
            "telephone_number": "574-936-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 School St",
            "address_purpose": "LOCATION",
            "city": "Culver",
            "state": "IN",
            "postal_code": "465111027",
            "country_code": "US",
            "telephone_number": "574-842-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEPHANIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003977A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.