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Stephen Storm

Occupational Therapy Assistant in Rudy, AR. Individual provider (NPI-1).

NPI number1124459474
StatusActive
Last updated in NPPESNov 18, 2015

Details

NPI
1124459474
Entity type
Individual (NPI-1)
Name
Stephen Storm
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 11, 2013
Last updated
Nov 18, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA817ARYes

Practice location

3028 Highway 348
Rudy, AR 72952-9564

Phone 479-719-1637

Mailing address

3028 Highway 348
Rudy, AR 72952-9564

Phone 479-719-1637

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapy Assistant providers in Rudy, AR

All 16 Occupational Therapy Assistant providers in Rudy · All 35 providers in Rudy

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