Active NPI
Stephanie Lynn Magner, COTA/L
- Occupational Therapy Assistant
- Ankeny, IA
National Provider Identifier
1902405525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 106005
- Practice address
- 1026 NE 57TH LN
Ankeny, IA 50021-6919 - Phone
- (712) 210-6864
- NPI assigned
- Oct 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 106005 | IA | Primary |
Addresses
Primary practice location
1026 NE 57TH LN
Ankeny, IA 50021-6919
Mailing address
1026 NE 57TH LN
Ankeny, IA 50021-6919
Phone (712) 210-6864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106005 | Other | IA | COTA LICENSE |
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 |
|---|---|---|---|
| 106005 | IA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1902405525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 NE 57TH LN",
"city": "ANKENY",
"state": "IA",
"postal_code": "500216919",
"telephone_number": "712-210-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 NE 57TH LN",
"city": "ANKENY",
"state": "IA",
"postal_code": "500216919",
"telephone_number": "712-210-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNER",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "106005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA LICENSE",
"identifier": "106005",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.