Individual provider Active NPI

Stephanie Eastman, M.S., OTR/L

  • Occupational Therapist
  • Garden City, NY
National Provider Identifier
1720455413
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019961 Issued in NY
Practice address
300 Garden City PLZ
Suite 350
Garden City, NY 11530-3302
Phone
(516) 747-9030
Fax
(516) 393-9116
NPI assigned
Aug 28, 2015
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 019961 NY Primary

Addresses

Primary practice location

300 Garden City PLZ
Suite 350
Garden City, NY 11530-3302

Mailing address

147 Main Ave
Mastic, NY 11950-3912

Other names 1

  • Stephanie Baker Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1720455413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MAIN AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ",
            "address_2": "SUITE 350",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303302",
            "telephone_number": "516-747-9030",
            "fax_number": "516-393-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.