Provider Demographics
NPI:1972211449
Name:STROUSE, STEVEN KEHNE II (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:KEHNE
Last Name:STROUSE
Suffix:II
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:6545 ANGELS GIFT TRL NE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-7747
Mailing Address - Country:US
Mailing Address - Phone:910-789-4532
Mailing Address - Fax:
Practice Address - Street 1:6545 ANGELS GIFT TRL NE
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-7747
Practice Address - Country:US
Practice Address - Phone:910-789-4532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOTA002935224Z00000X
225X00000X
NC15931225XP0200X
GAOT008739225X00000X
GA8739225XP0200X
SC6832225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist