Stacey Egenthal, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

016550 Issued in NY

Practice address

401 E 88TH St
Apt 15 C
New York, NY 10128-6605

Phone

(516) 286-0388

NPI assigned

Dec 29, 2010

Last updated

Jan 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356998400000",
    "number": "1821392143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 88TH ST",
            "address_2": "APT 15 C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 88TH ST",
            "address_2": "APT 15 C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286605",
            "telephone_number": "516-286-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGENTHAL",
        "first_name": "STACEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2013-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016550",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "016550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Egelko, PH.D.
• Alan Egelman, MD
• Kamila Rashidovna Egemberdieva
• James S. Egen, LCSW
• Nicole Phyllis Katalin Egenberger, ND
• Annalise Klara Eger, MD
• Jonathan Eger, PSY.D.
• Marc Egerman
• Marchena Egers
• Jennifer Ruth Egert, PH.D.

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; 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.