Stefanie R Haar, OT

Key facts

NPI

1770919342

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

46TR00626100 (NJ)

Practice address

527 Wrightstown Sykesville Rd
Building C, Unit 15
Wrightstown, NJ 08562-1530

Phone

(609) 316-0195

Fax

(609) 353-1549

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2013.

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1770919342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BUSTLETON AVE",
            "address_2": "SUITE 1-A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161188",
            "telephone_number": "215-613-6523",
            "fax_number": "215-613-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 WRIGHTSTOWN SYKESVILLE RD",
            "address_2": "BUILDING C, UNIT 15",
            "city": "WRIGHTSTOWN",
            "state": "NJ",
            "postal_code": "085621530",
            "telephone_number": "609-316-0195",
            "fax_number": "609-353-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAR",
        "first_name": "STEFANIE",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00626100",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Wrightstown, NJ · Occupational Therapist in New Jersey