Individual provider Active NPI

Stephanie Puryear, OTR/L

  • Occupational Therapist
  • Milwaukee, WI
National Provider Identifier
1184780256
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056-005739 Issued in IL
Practice address
5757 W Oklahoma Ave Ste 203
Sensory Steps Inc. at Mary Peterman MSW, LLC
Milwaukee, WI 53219-4303
Phone
(847) 530-8943
Fax
(414) 431-6401
NPI assigned
Dec 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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 056-005739 IL Primary
Occupational Therapist 225X00000X 555426 WI
Occupational Therapist 225X00000X 12500 CA

Addresses

Primary practice location

5757 W Oklahoma Ave Ste 203
Sensory Steps Inc. at Mary Peterman MSW, LLC
Milwaukee, WI 53219-4303

Mailing address

5757 W Oklahoma Ave Ste 203
Sensory Steps Inc. at Mary Peterman MSW, LLC
Milwaukee, WI 53219-4303
Phone (847) 530-8943

Other identifiers 1

IdentifierTypeStateIssuer
02232059OtherILBLUE CROSS BLUE SHIELD

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
12500CAMDOccupational Therapist
056-005739ILMDOccupational Therapist
555426WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Steps, Inc. Occupational Therapist Past Accepting new patients

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1184780256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W OKLAHOMA AVE STE 203",
            "address_2": "SENSORY STEPS INC. AT MARY PETERMAN MSW, LLC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194303",
            "telephone_number": "847-530-8943",
            "fax_number": "414-431-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W OKLAHOMA AVE STE 203",
            "address_2": "SENSORY STEPS INC. AT MARY PETERMAN MSW, LLC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194303",
            "telephone_number": "847-530-8943",
            "fax_number": "414-431-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYEAR",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-005739",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "555426",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02232059",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.