Provider Demographics
NPI:1285790352
Name:SENSORY STEPS, INC.
Entity type:Organization
Organization Name:SENSORY STEPS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:PURYEAR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:847-530-8943
Mailing Address - Street 1:5757 W OKLAHOMA AVE STE 203
Mailing Address - Street 2:SENSORY STEPS INC. AT MARY PETERMAN MSW, LLC
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53219-4303
Mailing Address - Country:US
Mailing Address - Phone:847-530-8943
Mailing Address - Fax:414-431-6401
Practice Address - Street 1:5757 W OKLAHOMA AVE STE 203
Practice Address - Street 2:SENSORY STEPS INC. AT MARY PETERMAN MSW, LLC
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53219-4303
Practice Address - Country:US
Practice Address - Phone:847-530-8943
Practice Address - Fax:414-431-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-30
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-005739225X00000X
WI5554-26225X00000X
CA12500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232059OtherBLUE CROSS BLUE SHIELD