Stephanie Degroote, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

26421 Issued in CA

Practice address

1101 S Winchester Blvd Ste E155
San Jose, CA 95128-3903

Phone

(408) 379-0245

NPI assigned

Jun 12, 2024

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.

• Bird Kern and Dalmia

  • Speech-Language Pathologist
  • San Jose, CA
  • NPI 1063653483
  NPD (past)

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1710729397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE E155",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE E155",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283903",
            "telephone_number": "408-379-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOTE",
        "first_name": "STEPHANIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "26421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepika Jain,D.D.S. Inc.
• Howard Hooshfar Defaii, D.D.S.
• Defining Voice
• Jason Defrancisci
• Kara Anne Degrave, PHARMD
• Christopher Roque Deguzman
• Erica Deguzman, MS, OTR/L
• Kevin Marshall Deguzman
• Monique Lorraine Deharo
• Priti Dehkharghani, M.D.

• Pediatric Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.