MEDICARE: STEPHANIE YANAROS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	OT.0009167	CO

General Provider Information

NPI Number	:	1588523112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE YANAROS

Provider Business Mailing Address
First Line	:	1500 E 128TH AVE
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80241-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 DOWNING DR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80229-5440
Country	:	US
Telephone Number	:	720-972-5320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ STEPHANIE YANAROS ” Practice Location

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