Individual provider Active NPI

James Stegeman

  • Occupational Therapy Assistant
  • Lehigh Acres, FL
National Provider Identifier
1982012597
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA13841 Issued in FL
Practice address
904 Lee Blvd
Unit 106
Lehigh Acres, FL 33936-4953
Phone
(239) 674-9374
Fax
(239) 491-3057
NPI assigned
Jul 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA13841 FL Primary

Addresses

Primary practice location

904 Lee Blvd
Unit 106
Lehigh Acres, FL 33936-4953

Mailing address

2515 First St
Apt #9
Fort Myers, FL 33901-2473
Phone (239) 560-0374

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

LicenseStateTypeSpecialty
OTA13841FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wee Playtherapy PLLC PastSince Nov 9, 2015 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1982012597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 FIRST ST",
            "address_2": "APT #9",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012473",
            "telephone_number": "239-560-0374",
            "fax_number": "239-491-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 LEE BLVD",
            "address_2": "UNIT 106",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364953",
            "telephone_number": "239-674-9374",
            "fax_number": "239-491-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEMAN",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.