Individual provider Active NPI

Steven Kehne Strouse II, OTR/L

  • Pediatric Occupational Therapist
  • Leland, NC
National Provider Identifier
1972211449
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6832 Issued in SC
Practice address
6545 Angels Gift TRL NE
Leland, NC 28451-7747
Phone
(910) 789-4532
NPI assigned
Nov 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X OTA002935 GA
Occupational Therapist 225X00000X
Pediatric Occupational Therapist 225XP0200X 15931 NC
Occupational Therapist 225X00000X OT008739 GA
Pediatric Occupational Therapist 225XP0200X 8739 GA
Pediatric Occupational Therapist 225XP0200X 6832 SC Primary

Addresses

Primary practice location

6545 Angels Gift TRL NE
Leland, NC 28451-7747

Mailing address

6545 Angels Gift TRL NE
Leland, NC 28451-7747
Phone (910) 789-4532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808001766 SC Practitioner - Occupational Therapist in Private Practice 4385181387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTA002935GAMDOccupational Therapy Assistant
OT008739GAMDOccupational Therapist
15931NCMDPediatric Occupational Therapist
6832SCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Multi-Specialty CurrentSince Jul 8, 2024 Accepting new patients
Legacy Healthcare Services Inc Multi-Specialty CurrentSince Jul 8, 2024 Accepting new patients
Van Varick Pediatric Physical Therapy Multi-Specialty PastSince Nov 1, 2022 Accepting new patients
Premier Childrens Therapy Center Multi-Specialty PastSince Jun 18, 2023 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

491 Highway 17
Little River, SC 29566
Phone (843) 399-5662

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1972211449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 ANGELS GIFT TRL NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517747",
            "telephone_number": "910-789-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 ANGELS GIFT TRL NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517747",
            "telephone_number": "910-789-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUSE",
        "first_name": "STEVEN",
        "middle_name": "KEHNE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002935",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "15931",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008739",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "8739",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "6832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.