Active NPI
Shana Novegrod, OT
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1023417102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4624
- Practice address
- 21615 Hawthorne Blvd
Suite 200
Torrance, CA 90503-6668 - Phone
- (310) 371-8555
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4624 | CA | Primary |
Addresses
Primary practice location
21615 Hawthorne Blvd
Suite 200
Torrance, CA 90503-6668
Mailing address
21615 Hawthorne Boulevard
#200
Torrance, CA 90503
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": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1023417102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21615 HAWTHORNE BOULEVARD",
"address_2": "#200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21615 HAWTHORNE BLVD",
"address_2": "SUITE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036668",
"telephone_number": "310-371-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVEGROD",
"first_name": "SHANA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.