Active NPI
Stephanie Nicole Thorp, OTD, OTR/L
- Occupational Therapist
- Newport Beach, CA
National Provider Identifier
1033649553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6129
- Practice address
- 518 San Bernardino Ave
Newport Beach, CA 92663-4813 - Phone
- (310) 614-7590
- NPI assigned
- Jun 18, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 6129 | CA | |
| Occupational Therapist | 225X00000X | 6129 | CA | Primary |
Addresses
Primary practice location
518 San Bernardino Ave
Newport Beach, CA 92663-4813
Mailing address
518 San Bernardino Ave
Newport Beach, CA 92663-4813
Phone (310) 614-7590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6129 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033649553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 SAN BERNARDINO AVE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634813",
"telephone_number": "310-614-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 SAN BERNARDINO AVE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634813",
"telephone_number": "310-614-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORP",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "6129",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "6129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.