Rileigh Lynn Stake, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Loudonville, OH
NPI 1851942015 · NPPES record last updated Sep 27, 2019
Key facts
- NPI
- 1851942015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA.007304 (OH)
- Practice address
- 3086 County Road 529
Loudonville, OH 44842-9689 - Phone
- (419) 606-9949
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.007304 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.007304 | OH | Yes |
Addresses
Primary practice location
3086 County Road 529
Loudonville, OH 44842-9689
Mailing address
339 E Maple St
North Canton, OH 44720-2593
Phone (330) 498-8200
Other providers in Loudonville, OH
- Darrel L Scott
- Tyler Lynn Scott
- Sean Phillips Recovery Center LLC
- Nicole Shannon
- Trina Smith
- Rodney Lynn Stinemetz
- Vanessa Paige Stitzlein
- The Cleveland Clinic Foundation
- The Switch National Anti-Trafficking Network
- David J Tomchak
All providers in Loudonville, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.