Active NPI
Stephanie Coe
- Pediatric Occupational Therapist
- Lake Forest, CA
National Provider Identifier
1992829147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT706
- Practice address
- 20902 Bake Pkwy
Suite 100
Lake Forest, CA 92630-2175 - Phone
- (949) 600-5437
- Fax
- (949) 600-5439
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 706 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | OT706 | CA | Primary |
Addresses
Primary practice location
20902 Bake Pkwy
Suite 100
Lake Forest, CA 92630-2175
Mailing address
18 Breezy MDWS
Rancho Santa Margarita, CA 92688-8522
Phone (949) 766-8707
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 706 | CA | MD | Occupational Therapist |
| OT706 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hailey Mayz Foundation | Pediatrics | Past | Accepting new patients |
| United Cerebral Palsy of Orange County | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Ranch Santa Margarita, CA
- NPI 1023309390
Pediatrics
-
- Voluntary or Charitable Agency
- Santa Ana, CA
- NPI 1043458771
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1992829147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 BREEZY MDWS",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926888522",
"telephone_number": "949-766-8707",
"fax_number": "949-713-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20902 BAKE PKWY",
"address_2": "SUITE 100",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302175",
"telephone_number": "949-600-5437",
"fax_number": "949-600-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COE",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 706",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.