Active NPI
Stephanie Sandherr, OTR
- Pediatric Occupational Therapist
- Waipahu, HI
National Provider Identifier
1316112246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485 - Phone
- (808) 444-3353
- NPI assigned
- Apr 22, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Mailing address
PO Box 184
Bridgewater Corners, VT 05035-0184
Phone (832) 443-6433
Other practice location 1
138 Horse Farm Rd
Sharon, VT 05065-6574
Phone (802) 763-3280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032160530001 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Bloom LLC | Current | 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.
-
- Occupational Therapist
- Bridgewater Corners, VT
- NPI 1295693174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714262400000",
"number": "1316112246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 184",
"city": "BRIDGEWATER CORNERS",
"state": "VT",
"postal_code": "050350184",
"telephone_number": "832-443-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1181 KA UKA BLVD STE C",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974485",
"telephone_number": "808-444-3353"
}
],
"practiceLocations": [
{
"address_1": "138 Horse Farm Rd",
"address_purpose": "LOCATION",
"city": "Sharon",
"state": "VT",
"postal_code": "050656574",
"country_code": "US",
"telephone_number": "802-763-3280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDHERR",
"first_name": "STEPHANIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2024-04-28",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032160530001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.