Active NPI
Michael Paul Stamper, OTR/L
- Occupational Therapist
- Belmont, MS
National Provider Identifier
1962709196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5164
- Practice address
- 24 Shady Cove Ext
Belmont, MS 38827-9781 - Phone
- (662) 279-5910
- NPI assigned
- Feb 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | TA2430 | MS | |
| Occupational Therapist | 225X00000X | 5164 | AL | Primary |
Addresses
Primary practice location
24 Shady Cove Ext
Belmont, MS 38827-9781
Mailing address
24 Shady Cove Ext
Belmont, MS 38827-9781
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.
-
- Occupational Therapist
- Belmont, MS
- NPI 1659916302
AL, MS, Occupational Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
602 Patrick Henry St
Red Bay, AL 35582-3638
Phone (662) 279-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200410000996 | MS | Practitioner - Occupational Therapist in Private Practice | 1557790805 | Reassigns benefits to 1 organization |
| I20220107002156 | AL | Practitioner - Occupational Therapist in Private Practice | 1557790805 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2430 | MS | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundance Therapy LLC | Occupational Therapist | Current | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1962709196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SHADY COVE EXT",
"city": "BELMONT",
"state": "MS",
"postal_code": "388279781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SHADY COVE EXT",
"city": "BELMONT",
"state": "MS",
"postal_code": "388279781",
"telephone_number": "662-279-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMPER",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-24",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MS",
"license": "TA2430",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "5164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.