Individual provider Active NPI

Stephanie Welson, OTR/L

  • Pediatric Occupational Therapist
  • Albertson, NY
National Provider Identifier
1982027017
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1507 Issued in NY
Practice address
1157 Willis Ave
Suite 3
Albertson, NY 11507-1219
Phone
(516) 487-6412
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 1507 NY Primary

Addresses

Primary practice location

1157 Willis Ave
Suite 3
Albertson, NY 11507-1219

Mailing address

1157 Willis Ave
Suite 3
Albertson, NY 11507-1219
Phone (516) 487-6412

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
1507NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1982027017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 WILLIS AVE",
            "address_2": "SUITE 3",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071219",
            "telephone_number": "516-487-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 WILLIS AVE",
            "address_2": "SUITE 3",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071219",
            "telephone_number": "516-487-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSON",
        "first_name": "STEPHANIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.