Organization Active NPI

Shorter'S Professional Occupational Therapy Services PC

  • Occupational Therapist
  • Rosedale, NY
National Provider Identifier
1073870259
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SHORTER'S PROFESSIONAL OCCUPATIONAL THERAPY SERVICES PC
Practice address
23528 148TH Ave
Rosedale, NY 11422-3257
Phone
(646) 423-5917
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Alicia Shorter, OTR/LNPI 1538291182
Title
Occupational Therapist/Sole Provide
Phone
(646) 423-5917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

23528 148TH Ave
Rosedale, NY 11422-3257

Mailing address

23528 148TH Ave
Rosedale, NY 11422-3257
Phone (646) 423-5917

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1073870259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23528 148TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223257",
            "telephone_number": "646-423-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23528 148TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223257",
            "telephone_number": "646-423-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORTER'S PROFESSIONAL OCCUPATIONAL THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "SHORTER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/SOLE PROVIDE",
        "authorized_official_telephone_number": "646-423-5917",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.