MEDICARE: COURTNEY STONESIFER MSOT

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1720943855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY STONESIFER MSOT

Provider Business Mailing Address
First Line	:	699 OLD ORCHARD DR
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-4331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 HARLAN DR
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-5248
Country	:	US
Telephone Number	:	925-855-5300
Fax Number	:

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

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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Directions to “ COURTNEY STONESIFER MSOT” Practice Location

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