Healthcare Provider Details

I. General information

NPI: 1336053446
Provider Name (Legal Business Name): STEPFANIE MARIE STAPF OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 JAYMOR RD STE C-150
SOUTHAMPTON PA
18966-3832
US

IV. Provider business mailing address

928 JAYMOR RD STE C-150
SOUTHAMPTON PA
18966-3832
US

V. Phone/Fax

Practice location:
  • Phone: 215-330-4116
  • Fax:
Mailing address:
  • Phone: 215-330-4116
  • Fax: 215-330-4118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC021763
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: