Stella T Beyerly, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0000852 Issued in CO

Practice address

110 W Van Buren St
Colorado Springs, CO 80907-6713

Phone

(719) 475-8686

NPI assigned

May 3, 2023

Last updated

May 3, 2023By 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 1

Addresses

Other names 1

• Stella T Smith 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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1851080048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15752 PAIUTE CIR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326092",
            "telephone_number": "571-205-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W VAN BUREN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076713",
            "telephone_number": "719-475-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERLY",
        "first_name": "STELLA",
        "middle_name": "T",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "0000852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELLA",
            "last_name": "SMITH",
            "middle_name": "T",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mathew Beyak
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• Jennifer Lynn Beyer, LCSW
• Kipp Devine Beyerle, OD
• Charles Blake Beyers
• Emily Beyhl
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• Beyond Da Block Youth Peer Support LLC
• Beyond Speech LLC (Beyond Speech)

• Occupational Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.