Individual provider Active NPI

Stephanie Harry, OTR/L

  • Occupational Therapist
  • Saint Peters, MO
National Provider Identifier
1396150314
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2014017954 Issued in MO
Practice address
7055 Mexico Rd Unit 1601
Saint Peters, MO 63376-2344
Phone
(636) 866-1341
Fax
(636) 323-2155
NPI assigned
Jun 28, 2014
Last updated
Jun 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2014017954 MO Primary

Addresses

Primary practice location

7055 Mexico Rd Unit 1601
Saint Peters, MO 63376-2344

Mailing address

7055 Mexico Rd Unit 1601
Saint Peters, MO 63376-2344
Phone (636) 866-1341

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

LicenseStateTypeSpecialty
2014017954MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 4 Kids LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1396150314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 MEXICO RD UNIT 1601",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762344",
            "telephone_number": "636-866-1341",
            "fax_number": "636-323-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 MEXICO RD UNIT 1601",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762344",
            "telephone_number": "636-866-1341",
            "fax_number": "636-323-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-28",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2014017954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.