Jeannette Elizabeth Stephen, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Machias, NY
NPI 1194480343 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1194480343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 017903-01 (NY)
- Practice address
- 9822 Route 16
Machias, NY 14101-9771 - Phone
- (716) 353-8516
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017903-01 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 017903-01 | NY | Yes |
Addresses
Primary practice location
9822 Route 16
Machias, NY 14101-9771
Mailing address
9822 Route 16
Machias, NY 14101-9771
Phone (163) 353-8516
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Vestal | Direct |
Other providers in Machias, NY
- Jennifer Lee Hinz
- Brenna Litwinski
- Sandra Ann McMannus
- Bruce D Saltsman II
- Mary Snyder
- Constance Walker
- Kelly Webster
All providers in Machias, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.