Individual provider Active NPI

Loren Anne Shlaes, OTR/L, CTAT

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1033422738
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
06333-1 Issued in NY
Practice address
39 W 14TH St
#307
New York, NY 10011-7489
Phone
(212) 414-2777
Fax
(212) 414-2777
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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 06333-1 NY Primary

Addresses

Primary practice location

39 W 14TH St
#307
New York, NY 10011-7489

Mailing address

39 W 14TH St Ste 307
New York
New York, NY 10011-7405
Phone (212) 923-2860

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

State licenses

LicenseStateTypeSpecialty
06333-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1033422738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST STE 307",
            "address_2": "NEW YORK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117405",
            "telephone_number": "212-923-2860",
            "fax_number": "212-414-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST",
            "address_2": "#307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117489",
            "telephone_number": "212-414-2777",
            "fax_number": "212-414-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLAES",
        "first_name": "LOREN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CTAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "06333-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.