Stefanie Breanne Whalen, COTA/ T OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

32002593A Issued in IN

Practice address

1348 Dixon Pkwy
Chesterton, IN 46304-9567

Phone

(219) 707-6511

NPI assigned

Jun 20, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1063073005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 DIXON PKWY",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049567",
            "telephone_number": "219-707-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 DIXON PKWY",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049567",
            "telephone_number": "219-707-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "STEFANIE",
        "middle_name": "BREANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA/ T OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "32002593A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "927215735",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stefanie.whalen@cuw.edu",
            "affiliation": "N",
            "endpointDescription": "school portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone",
            "address_1": "1348 Dixon Pkwy",
            "city": "Chesterton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463049567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ameliya Werner, RBT
• Mary Sinead Werner
• Madeline Wesley, RBT
• Susan Westmoreland, CMT
• Robert M Westphal, OT
• Angela Wheeler, M.D.
• Rebecca J. Whited, LMHC
• Wilkinson Consulting Incorporated
• Clatossica Williams
• Pamela Williams, COTA

• Occupational Therapist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.