Individual provider Active NPI

Stephanie Scotto, OTR

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1053671784
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
071256-1 Issued in NY
Practice address
83 Radcliff Rd
Staten Island, NY 10305-2611
Phone
(917) 284-3995
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 071256-1 NY Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 017256-1 NY
Pediatric Occupational Therapist 225XP0200X 017256-1 NY

Addresses

Primary practice location

83 Radcliff Rd
Staten Island, NY 10305-2611

Mailing address

83 Radcliff Rd
Staten Island, NY 10305-2611
Phone (917) 284-3995

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

LicenseStateTypeSpecialty
071256-1NYMDOccupational Therapist
017256-1NYMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1053671784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 RADCLIFF RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052611",
            "telephone_number": "917-284-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 RADCLIFF RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052611",
            "telephone_number": "917-284-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTO",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "071256-1",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "017256-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "017256-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.