Active NPI
Stefanie Waltz, MS, OTR/L
- Occupational Therapist
- Plymouth Meeting, PA
National Provider Identifier
1629362009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC011473
- Practice address
- 5215 Militia Hill Rd
Suite a
Plymouth Meeting, PA 19462-1276 - Phone
- (215) 378-6652
- NPI assigned
- Jun 3, 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 | OC011473 | PA | Primary |
Addresses
Primary practice location
5215 Militia Hill Rd
Suite a
Plymouth Meeting, PA 19462-1276
Mailing address
5215 Militia Hill Rd
Suite a
Plymouth Meeting, PA 19462-1276
Phone (215) 378-6652
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC011473 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1629362009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 MILITIA HILL RD",
"address_2": "SUITE A",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621276",
"telephone_number": "215-378-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 MILITIA HILL RD",
"address_2": "SUITE A",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621276",
"telephone_number": "215-378-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTZ",
"first_name": "STEFANIE",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC011473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.