Stephanie Shepherd, MS, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

020913-01 Issued in NY

Practice address

100 John Roemmelt Dr Ste 100
Horseheads, NY 14845-8302

Phone

(607) 737-7804

NPI assigned

Jan 20, 2022

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• JH Therapy Services

  • Home Health Agency
  • Long Beach, NY
  • NPI 1417715152
  Medicare reassignment NPD
• JH Therapy Services

  • Occupational Therapist
  • Lapeer, MI
  • NPI 1104618180
  NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1083366199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HIGHVIEW CIR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148457287",
            "telephone_number": "607-215-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR STE 100",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458302",
            "telephone_number": "607-737-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "STEPHANIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "020913-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonid Segal, M.D.
• Natalya Selina Segal, DO
• Patricia Ann Shay
• Jean M Sheahan, OTR
• Jacqueline Patricia Sheldon, MSOTR/L
• Rebecca A Sherwood, CCC-SLP
• Christina C Sirois, LCSW-R
• SLH Optical, Inc.
• Charlize Noelle Slusser, OTR/L MOT
• Brieanne Smith, LMHC

• Physical Rehabilitation Occupational Therapist in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.