Individual provider Active NPI

Stephanie Lynn Lembach-Witmer, COTA/L

  • Occupational Therapy Assistant
  • Clio, MI
National Provider Identifier
1891305363
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202007686 Issued in MI
Practice address
11378 Autumn Breeze TRL
Clio, MI 48420-1592
Phone
(810) 516-1022
NPI assigned
Aug 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202007686 MI Primary

Addresses

Primary practice location

11378 Autumn Breeze TRL
Clio, MI 48420-1592

Mailing address

11378 Autumn Breeze TRL
Clio, MI 48420-1592
Phone (810) 516-1022

Other names 1

  • Stephanie Lynn Lembach Former name

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

LicenseStateTypeSpecialty
5202007686MIMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1891305363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11378 AUTUMN BREEZE TRL",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201592",
            "telephone_number": "810-516-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11378 AUTUMN BREEZE TRL",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201592",
            "telephone_number": "810-516-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBACH-WITMER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LEMBACH",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.