Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROSPEROUS LIVING LLC
Active
Organization
PROSPEROUS LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE JACKSON OTR/L (OCCUPATIONAL THERAPIST/PRESIDENT)
(205) 266-5394
Entity
Organization
Contact information
Practice address
1974 CHANDALAR DR, SUITE D, PELHAM, AL 35124-4340
(205) 358-3515
Mailing address
719 HERITAGE PARK LN, HOOVER, AL 35226-4198
(205) 266-5394
(205) 358-3517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2276
AL
225XG0600X
Gerontology Occupational Therapist
2276
AL
225XL0004X
Low Vision Occupational Therapist
2276
AL
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers