Stephanie Marie Farrell, MSOT

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

11974 Issued in CA

Practice address

910 E Alosta Ave
Azusa, CA 91702-2709

Phone

(626) 334-8735

NPI assigned

May 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Scott C Lederhaus MD & Lew B Disney MD PRT Lederhaus Scott C Gen PTR

  • Neurological Surgery Physician
  • Pomona, CA
  • NPI 1871646679
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1326538661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022709",
            "telephone_number": "626-334-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022709",
            "telephone_number": "626-334-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "11974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivory Estrada
• Eyecare Vision Inc.
• Elisabeth Fabris
• Charles Phillip Andrew Fagan
• Family Medicine Headquarters, Inc
• Amanda Lorraine Felix
• Cynthia Ann Felix, PT
• Kylie Dennise Ferrer Guiking, ASW, PPSC
• Magely Flores
• Monica Melissa Flores, MA

• Neurorehabilitation Occupational Therapist in Azusa, CA
• Providers in Azusa, CA by specialty
• Neurorehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.