Stefanie Bennett, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009721 Issued in VA

Practice address

5520 Indian River Rd
Virginia Beach, VA 23464-5217

Phone

(757) 420-3600

NPI assigned

Jun 23, 2023

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 names 1

• Stefanie Goins Former name

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1184300188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHAFFER RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283797924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 INDIAN RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645217",
            "telephone_number": "757-420-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEFANIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "GOINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Ann Bennett, PSY.D.
• Michael B. Bennett, MD
• Natalya Desiree Bennett
• Sarah Nicole Bennett, LPC
• Sharif Bennett, REGISTERED NURSE
• Steven Brian Bennett, PA-C
• Tonya Bennett, LCSW
• Tori Benoit, OTR/L
• Ashley Marie Benshoff, M.S. OTR/L
• Kimberly Bensie, SOCIAL WORK

• Occupational Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.