Individual provider Active NPI

Ryan Benjamin Stern, MS, OTR/L

  • Occupational Therapist
  • Owings Mills, MD
National Provider Identifier
1053180174
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10127 Issued in MD
Practice address
7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528
Phone
(410) 849-9496
NPI assigned
Dec 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10127 MD Primary

Addresses

Primary practice location

7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528

Mailing address

8720 Mylander LN Apt 3410
Towson, MD 21286-2114
Phone (301) 580-0552

Other practice location 1

4810 Seton Dr
Baltimore, MD 21215-3210
Phone (410) 358-6400

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10127MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charm City Therapy CurrentSince Dec 31, 2023 Accepting new patients

Locations

7 Gwynns Mill Ct
Ste I
Owings Mills, MD 21117
Phone (410) 443-7021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1053180174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 MYLANDER LN APT 3410",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862114",
            "telephone_number": "301-580-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GWYNNS MILL CT STE I",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173528",
            "telephone_number": "410-849-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4810 Seton Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212153210",
            "country_code": "US",
            "telephone_number": "410-358-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "RYAN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.