Active NPI
Stephanie Davis
- Occupational Therapist
- Eatontown, NJ
National Provider Identifier
1861028482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00830700
- Practice address
- 1 Main St Ste 505
Eatontown, NJ 07724-3903 - Phone
- (732) 493-3100
- NPI assigned
- Mar 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00830700 | NJ | Primary |
Addresses
Primary practice location
1 Main St Ste 505
Eatontown, NJ 07724-3903
Mailing address
1 Main St Ste 505
Eatontown, NJ 07724-3903
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00830700 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Therapy Services, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584230400000",
"number": "1861028482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST STE 505",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAIN ST STE 505",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243903",
"telephone_number": "732-493-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-15",
"last_updated": "2020-03-15",
"certification_date": "2020-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00830700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.