STEPHANIE A. ELMORE OT
NPI 1124217864
Specialist in Ronceverte, WV

Q: What is Stephanie Elmore's NPI number?

The NPI number for Stephanie Elmore is 1124217864. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Q: What is Stephanie Elmore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Elmore was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2007Accepts Medicare Assignment

111 DAVIS STUART ROAD, RONCEVERTE, WV 24970(304) 647-3987(304) 647-3990 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephanie A. Elmore Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE A. ELMORE OT (NPI 1124217864) is an individual specialist in Ronceverte, West Virginia, licensed in West Virginia (1341) and active in the NPI registry since October 2007. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1124217864

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSTEPHANIE A. ELMORECredential: OT

Location Address111 DAVIS STUART ROADRonceverte, WV 24970

Mailing Address111 Davis Stuart RoadRonceverte, WV 24970 · (304) 647-3987 · Fax (304) 647-3990

Phone(304) 647-3987

Fax(304) 647-3990

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateOctober 18, 2007

Last NPPES UpdateMay 25, 2023

NPPES CertifiedMay 25, 2023

✔ NPI 1124217864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WV · 1341

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

111 DAVIS STUART ROAD, Ronceverte, WV 24970

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Other Identifiers 1

Medicaid172V00000XWV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie A. Elmore Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951499425

PECOS Enrollment IDI20071116000203

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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