Active NPI
Stephanie Soo, M.S.
- Occupational Therapist
- Burlingame, CA
National Provider Identifier
1306123559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12321
- Practice address
- 1841 Sebastian Dr
Burlingame, CA 94010-5744 - Phone
- (650) 692-6766
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 12321 | CA | Primary |
Addresses
Primary practice location
1841 Sebastian Dr
Burlingame, CA 94010-5744
Mailing address
1841 Sebastian Dr
Burlingame, CA 94010-5744
Phone (650) 692-6766
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy 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.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1639766603
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1306123559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 SEBASTIAN DR",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940105744",
"telephone_number": "650-692-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 SEBASTIAN DR",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940105744",
"telephone_number": "650-692-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOO",
"first_name": "STEPHANIE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.