Individual provider Active NPI

Shannon McNamara

  • Pediatric Occupational Therapist
  • Sea Cliff, NY
National Provider Identifier
1003371600
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
280 Carpenter Ave
Sea Cliff, NY 11579-1702
Phone
(516) 277-7500
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

280 Carpenter Ave
Sea Cliff, NY 11579-1702

Mailing address

82 Kilburn Rd
Garden City, NY 11530-2613

Other practice location 1

7 School St
Glen Head, NY 11545-1842
Phone (516) 277-7700

Other practice location 2

82 Kilburn Rd
Garden City, NY 11530-2613
Phone (516) 780-2897

Other practice location 3

60 Cody Ave
Glen Head, NY 11545-1234
Phone (516) 277-7601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1003371600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 KILBURN RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CARPENTER AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791702",
            "telephone_number": "516-277-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 School St",
            "address_purpose": "LOCATION",
            "city": "Glen Head",
            "state": "NY",
            "postal_code": "115451842",
            "country_code": "US",
            "telephone_number": "516-277-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82 Kilburn Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302613",
            "country_code": "US",
            "telephone_number": "516-780-2897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Cody Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Head",
            "state": "NY",
            "postal_code": "115451234",
            "country_code": "US",
            "telephone_number": "516-277-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.