Individual provider Active NPI

Stephanie Marie Foster, OTR/L, PHD

  • Pediatric Occupational Therapist
  • Santa Maria, CA
National Provider Identifier
1740345412
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT3616 Issued in CA
Practice address
734 Richmind CT
Santa Maria, CA 93455-7133
Phone
(805) 815-5634
Fax
(949) 215-4281
NPI assigned
Dec 23, 2006
Reactivated
Dec 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3616 CA
Pediatric Occupational Therapist 225XP0200X OT3616 CA Primary

Addresses

Primary practice location

734 Richmind CT
Santa Maria, CA 93455-7133

Mailing address

PO Box 2443
Santa Maria, CA 93457-2443
Phone (805) 815-5634

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
OT3616CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1740345412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2443",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934572443",
            "telephone_number": "805-815-5634",
            "fax_number": "949-215-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 RICHMIND CT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934557133",
            "telephone_number": "805-815-5634",
            "fax_number": "949-215-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "OTR/L, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2019-01-15",
        "deactivation_date": "2017-08-23",
        "reactivation_date": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT3616",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.