Active NPI
Gessica Dian Stovall, OTD
- Occupational Therapist
- Murray, UT
National Provider Identifier
1891335279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11511725-4201
- Practice address
- 5121 S Cottonwood St
Murray, UT 84107-5701 - Phone
- (504) 234-0241
- NPI assigned
- Jan 13, 2020
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | 11511725-4201 | UT | |
| Ergonomics Occupational Therapist | 225XE1200X | 11511725-4201 | UT | |
| Gerontology Occupational Therapist | 225XG0600X | 11511725-4201 | UT | |
| Low Vision Occupational Therapist | 225XL0004X | 11511725-4201 | UT | |
| Mental Health Occupational Therapist | 225XM0800X | 11511725-4201 | UT | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 11511725-4201 | UT | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 11511725-4201 | UT | |
| Pediatric Occupational Therapist | 225XP0200X | 11511725-4201 | UT | |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 11511725-4201 | UT | |
| Occupational Therapist | 225X00000X | 11511725-4201 | UT | Primary |
Addresses
Primary practice location
5121 S Cottonwood St
Murray, UT 84107-5701
Mailing address
9644 S Kalina Way
Apt 207
Sandy, UT 84092-1237
Phone (504) 234-0241
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Gessica.Stovall@imail.org |
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 |
|---|---|---|---|
| 11511725-4201 | UT | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1891335279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9644 S KALINA WAY",
"address_2": "APT 207",
"city": "SANDY",
"state": "UT",
"postal_code": "840921237",
"telephone_number": "504-234-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 S COTTONWOOD ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075701",
"telephone_number": "504-234-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVALL",
"first_name": "GESSICA",
"middle_name": "DIAN",
"name_prefix": "Dr.",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "UT",
"license": "11511725-4201",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "11511725-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Gessica.Stovall@imail.org",
"affiliation": "N",
"address_1": "5121 S Cottonwood St",
"city": "Murray",
"state": "UT",
"country_code": "US",
"postal_code": "841075701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.