Dylan Shirek, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105537 Issued in MN

Practice address

3700 Foss Rd
Minneapolis, MN 55421-4512

Phone

(612) 788-9673

NPI assigned

Nov 20, 2017

Last updated

Nov 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1053825521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 24TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559042903",
            "telephone_number": "507-251-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FOSS RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214512",
            "telephone_number": "612-788-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREK",
        "first_name": "DYLAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12567",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussein Shire
• Katra Burham Shire
• Samira Sicid Shire
• Aliduh Jamal Shireh
• Ann M. Shirek, CRNA
• Melissa Ann Shirriff, PT
• Lane Michael Shish
• Oluwatobi Adekiitan Shittu, MD
• Rocky Hao Shiu, PHARMD
• Lisa Shivnarine, PHARMD

• Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.