Active NPI
Stephanie Ray
- Occupational Therapist
- Crownsville, MD
National Provider Identifier
1215290887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06921
- Practice address
- 1454 Fairfield Loop Rd
Crownsville, MD 21032 - Phone
- (410) 923-6820
- NPI assigned
- Jun 19, 2012
- Last updated
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 06921 | MD | Primary |
Addresses
Primary practice location
1454 Fairfield Loop Rd
Crownsville, MD 21032
Mailing address
2911 Bristol Channel CT
Pasadena, MD 21122-6315
Phone (443) 600-6598
Other practice location 1
1454 Fairfield Loop Rd
Crownsville, MD 21032
Phone (410) 923-6820
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06921 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1215290887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 BRISTOL CHANNEL CT",
"city": "PASADENA",
"state": "MD",
"postal_code": "211226315",
"telephone_number": "443-600-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 FAIRFIELD LOOP RD",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "21032",
"telephone_number": "410-923-6820"
}
],
"practiceLocations": [
{
"address_1": "1454 Fairfield Loop Rd",
"address_purpose": "LOCATION",
"city": "Crownsville",
"state": "MD",
"postal_code": "21032",
"country_code": "US",
"telephone_number": "410-923-6820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crownsville, MD
- Gabrielle Picard, AGNP
- Potomac Ridge Behavioral Health Anne Arundel
- Psi Ki
- Quickmd Medical Group PA
- Eric Nathan Rabovsky, D.D.S
- Reconnect Recovery Services, LLC
- Restorative Medicine and Aesthetics in Annapolis
- Robert a. Pascal Youth & Family Services, Inc. (Pascal Crisis Services, Inc.)
- Robert a. Pascal Youth & Family Services, Inc.
- Robert a. Pascal Youth & Family Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.