Organization Active NPI

Ivetta Stebe, Occupational Therapist, PC

  • Early Intervention Provider Agency
  • Rego Park, NY
National Provider Identifier
1669747754
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
009476-1 Issued in NY
Legal business name
IVETTA STEBE, OCCUPATIONAL THERAPIST, PC
Practice address
8517 67TH Ave
Rego Park, NY 11374-5213
Phone
(917) 854-6164
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Ivetta Stebe, OTR/LNPI 1245377456
Title
Owner/President
Phone
(917) 854-6164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 009476-1 NY Primary

Addresses

Primary practice location

8517 67TH Ave
Rego Park, NY 11374-5213

Mailing address

6524 Cromwell Cres
Rego Park, NY 11374-5023
Phone (917) 854-6164

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1669747754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 CROMWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745023",
            "telephone_number": "917-854-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 67TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745213",
            "telephone_number": "917-854-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVETTA STEBE, OCCUPATIONAL THERAPIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "STEBE",
        "authorized_official_first_name": "IVETTA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-854-6164",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "009476-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.