OT Stat LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105100 Issued in TX

Legal business name

OT STAT LLC

Practice address

5319 Meadow Canyon Dr
Sugar Land, TX 77479-8876

Phone

(832) 790-6262

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Steffanie D Bourdeaux, OT

Title

Occupational Therapist

Phone

(832) 790-6262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1962867853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 MEADOW CANYON DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798876",
            "telephone_number": "832-790-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 MEADOW CANYON DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798876",
            "telephone_number": "832-790-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT STAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "BOURDEAUX",
        "authorized_official_first_name": "STEFFANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "832-790-6262",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.