Adi Shimoni, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5685 Issued in NC

Practice address

4602 Cumberland Rd
Fayetteville, NC 28306-2412

Phone

(910) 423-5622

Fax

(910) 423-5538

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1043305261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TARTAN TRL",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877523",
            "telephone_number": "919-951-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 CUMBERLAND RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062412",
            "telephone_number": "910-423-5622",
            "fax_number": "910-423-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMONI",
        "first_name": "ADI",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Chin-I Sheu, PH.D.
• Melissa Nicole Shewell, MS, CCC-SLP
• Jena R Shields, M.S., CCC-SLP
• Kayla Shiggs
• Christa Shih
• Reina Shimozono, PHARMD
• Kevin Daesu Shin, L.AC., PH.D.
• Lucas Kwangsu Shin, DMD
• Shinelight, Inc
• Shining Star PLLC

• Occupational Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.