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

Olivia Stafford, OTR/L

Individual provider Occupational Therapist · NPI 1902439060

Olivia Stafford, OTR/L is an Occupational Therapist in Private Practice in Memphis, Tennessee. Qualified in 2019, 7 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3045 Kate Bond Rd
Memphis, TN 38133-4004
Phone: (901) 937-3200
Fax: (901) 383-1738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5118 Park Ave Ste 610, Memphis, TN 38117-5714 — (901) 761-4263

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6476 (TN)

Record details

NPI number1902439060
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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