Provider Demographics
NPI:1750261848
Name:STERENBERG, JORDAN (OT, OTD, OTR)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:STERENBERG
Suffix:
Gender:F
Credentials:OT, OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BATTERYMARCH PARK
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7500
Mailing Address - Country:US
Mailing Address - Phone:781-895-9500
Mailing Address - Fax:
Practice Address - Street 1:3 BATTERYMARCH PARK
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7500
Practice Address - Country:US
Practice Address - Phone:781-895-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA36285225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist