Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Stephenson Fegley

Individual provider Occupational Therapy Assistant · NPI 1710401179

Justin Stephenson Fegley is an Occupational Therapy Assistant in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

307 Quaker Ridge Dr
Daytona Beach, FL 32119-2383
Phone: (386) 847-7342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 15996 (FL)

Record details

NPI number1710401179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 21, 2022

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