Active NPI
James Stegeman
- Occupational Therapy Assistant
- Lehigh Acres, FL
National Provider Identifier
1982012597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA13841
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA13841 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Playtherapy PLLC | Past | 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.
-
- Speech-Language Pathologist
- Lehigh Acres, FL
- NPI 1851647770
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.