Individual provider Active NPI

Jasmin Stephens

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1992234215
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
4780 Data CT
Orlando, FL 32817-8331
Phone
(407) 904-0133
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X
Occupational Therapist 225X00000X FL
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

4780 Data CT
Orlando, FL 32817-8331

Mailing address

1518 Broad Wing LN
Winter Park, FL 32792-6092

Other practice location 1

1935 Beacon Bay Ct Ste 1201
Apopka, FL 32712-8189
Phone (407) 766-2846

Other practice location 2

10920 Moss Park Rd Ste 100
Orlando, FL 32832-6087
Phone (866) 610-0580

Other practice location 3

5800 Golf Club Pkwy
Orlando, FL 32808-4800
Phone (407) 766-2846

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1992234215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 BROAD WING LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 DATA CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178331",
            "telephone_number": "407-904-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Beacon Bay Ct Ste 1201",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327128189",
            "country_code": "US",
            "telephone_number": "407-766-2846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10920 Moss Park Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326087",
            "country_code": "US",
            "telephone_number": "866-610-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 Golf Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328084800",
            "country_code": "US",
            "telephone_number": "407-766-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JASMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.