Active NPI
Stephanie Kaye Peters, OTR, M.O.T.
- Occupational Therapist
- Bastrop, TX
National Provider Identifier
1891127577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114903
- Practice address
- 906 Farm St
Bastrop, TX 78602-3310 - Phone
- (512) 321-2292
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 114903 | TX | Primary |
Addresses
Primary practice location
906 Farm St
Bastrop, TX 78602-3310
Mailing address
4201 Monterey Oaks Blvd
Apartment #1115
Austin, TX 78749-4400
Phone (713) 550-3699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114903 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1891127577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 MONTEREY OAKS BLVD",
"address_2": "APARTMENT #1115",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787494400",
"telephone_number": "713-550-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 FARM ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023310",
"telephone_number": "512-321-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "STEPHANIE",
"middle_name": "KAYE",
"credential": "OTR, M.O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.