Individual provider Active NPI

Stephanie J Harsh, M.O.T.R.L

  • Occupational Therapist
  • Sycamore, IL
National Provider Identifier
1861754582
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056008587 Issued in IL
Practice address
690 S Peace Rd
Sycamore, IL 60178-1642
Phone
(630) 696-5461
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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 056008587 IL Primary

Addresses

Primary practice location

690 S Peace Rd
Sycamore, IL 60178-1642

Mailing address

690 S Peace Rd
Sycamore, IL 60178-1642
Phone (630) 696-5461

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

State licenses

LicenseStateTypeSpecialty
056008587ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1861754582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S PEACE RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781642",
            "telephone_number": "630-696-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S PEACE RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781642",
            "telephone_number": "630-696-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSH",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "M.O.T.R.L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.