Stephanie L Serrano, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00565100 Issued in NJ

Practice address

114 Hayes Mill Rd
Atco, NJ 08004-2457

Phone

(856) 809-7242

Fax

(856) 809-7269

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1023386265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HAYES MILL RD",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042457",
            "telephone_number": "856-809-7242",
            "fax_number": "856-809-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HAYES MILL RD",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042457",
            "telephone_number": "856-809-7242",
            "fax_number": "856-809-7269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Carnegie Plz",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031000",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00565100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G Russell, MA
• S Warren Gross MD LLC
• Alex Salunga
• Shana Sandrow, D.C.
• Chad Brian Scott
• Lucy Shade, RPH
• Amber Simmons
• Michael Gerard Simon, PT
• Rashawn Smith
• Rosemarie Smith, MS, CCC-SLP

• Occupational Therapist in Atco, NJ
• Providers in Atco, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.