Active NPI
Nina Marie Stevenson, OTR
- Occupational Therapist
- Weston, FL
National Provider Identifier
1891128104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 13039
- Practice address
- 2893 Executive Park Dr Ste 119
Weston, FL 33331-3666 - Phone
- (954) 560-1665
- NPI assigned
- Aug 10, 2013
- Sex
- Female
- Sole proprietor
- No
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 | OT 13039 | FL | Primary |
Addresses
Primary practice location
2893 Executive Park Dr Ste 119
Weston, FL 33331-3666
Mailing address
11580 NW 24TH St
Plantation, FL 33323-2000
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 |
|---|---|---|---|
| OT 13039 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MG Therapy Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1376092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376092800000",
"number": "1891128104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11580 NW 24TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333232000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2893 EXECUTIVE PARK DR STE 119",
"city": "WESTON",
"state": "FL",
"postal_code": "333313666",
"telephone_number": "954-560-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "NINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-10",
"last_updated": "2013-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 13039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.