Active NPIIndividual providerSole proprietor

Nicole M Stefan, OTR/L

Occupational Therapist, Pediatrics in Fairfield, Connecticut

NPI Number1942944830
Practice location
2505 Black Rock Tpke, Fairfield, CT 06825-2419
Fax
—
Last updated
April 26, 2022

Nicole Marie Stefan is an Occupational Therapist, Pediatrics based in Fairfield, CT. Nicole Marie Stefan practices in Fairfield, CT and has the professional credentials of OTR/L. The NPI Number for Nicole Marie Stefan is 1942944830 and holds a License No. 5958 (CT). The current practice location address for Nicole Marie Stefan is 2505 Black Rock Tpke, Fairfield, CT 06825-2419 and can be reached out via phone at 203-444-8817.

Provider Profile Details

NPI Number
1942944830
Provider Name
Nicole Marie Stefan
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
2505 Black Rock Tpke, Fairfield, CT 06825-2419
Phone Number
203-444-8817
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
April 26, 2022
Last Update Date
April 26, 2022
Certification Date
April 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2505 Black Rock Tpke
Fairfield, CT 06825-2419
Zip
06825-2419
Phone Number
203-444-8817
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
30 Paul Braun CT
Milford, CT 06460-3830
City
Milford
State
CT
Zip
06460-3830
Phone Number
203-444-8817

License Information

License Number
5958
License State
CT
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole M Stefan, OTR/L?

The NPI number of Nicole M Stefan, OTR/L is 1942944830. It was assigned on April 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Nicole M Stefan, OTR/L?

Nicole M Stefan, OTR/L is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in CT under license number 5958.

Where does Nicole M Stefan, OTR/L practice?

The practice location is 2505 Black Rock Tpke, Fairfield, CT 06825-2419. The office can be reached at 203-444-8817 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942944830 directly on the NPPES registry website.

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