Active NPI
Stephenie Gobris
- Occupational Therapist
- Smithtown, NY
National Provider Identifier
1326444852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63 017756
- Practice address
- 1 Overhill Dr
Smithtown, NY 11787-1528 - Phone
- (631) 487-3712
- NPI assigned
- Nov 11, 2014
- 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 | 63 017756 | NY | Primary |
Addresses
Primary practice location
1 Overhill Dr
Smithtown, NY 11787-1528
Mailing address
1 Overhill Dr
Smithtown, NY 11787-1528
Phone (631) 487-3712
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63 017756 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1326444852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OVERHILL DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871528",
"telephone_number": "631-487-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OVERHILL DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871528",
"telephone_number": "631-487-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBRIS",
"first_name": "STEPHENIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63 017756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.