MEDICARE: MRS. STEPHANIE ROSE WHITE OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	0131000499	VA
2	225XP0019X	Physical Rehabilitation Occupational Therapist	0119006215	VA

General Provider Information

NPI Number	:	1316215023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE ROSE WHITE OTR/L

Provider Business Mailing Address
First Line	:	2408 COLWYN RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23229
Country	:	US
Telephone Number	:	804-687-6849
Fax Number	:

Provider Business Practice Location Address
First Line	:	2422 PEMBERTON RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-2028
Country	:	US
Telephone Number	:	804-716-1527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	03/12/2014

Similar Medicare Providers

1336466762 — MR. MICHAEL PATRICK MANSFIELD LMT
Practice Location Address:

1100 E MAIN ST
RICHMOND, KY
40475-2028

Practice Phone: 859-200-3152
Practice Fax:

1245557677 — MRS. DIANA LYNN MANSFIELD LMT
Practice Location Address:

1100 E MAIN ST
RICHMOND, KY
40475-2028

Practice Phone: 859-200-3148
Practice Fax:

1720384100 — AVA GAULT LINDEN M.A LPC, LADC
Practice Location Address:

4900 RICHMOND SQ , SUITE 102
OKLAHOMA CITY, OK
73118-2028

Practice Phone: 405-740-5465
Practice Fax: 405-478-4726

1891079661 — DR. ERIC ABRAHAM SAMUELS PSYD
Practice Location Address:

1639 AQUA VISTA RD
RICHMOND, CA
94805-2028

Practice Phone: 203-747-1220
Practice Fax: 203-747-1220

1356963516 — AMERICAN HEALTH MANAGEMENT
Practice Location Address:

2028 MERRICK DR
RICHMOND, KY
40475-8133

Practice Phone: 859-623-4080
Practice Fax: 859-624-5771

1093457830 — HORIZON PACE, LLC
Practice Location Address:

2028 MERRICK DR
RICHMOND, KY
40475-8133

Practice Phone: 859-623-4080
Practice Fax: 859-624-5771

Directions to “ MRS. STEPHANIE ROSE WHITE OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.