Individual provider Active NPI

Shobha Neupane

  • Occupational Therapist
  • Middlebury, CT
National Provider Identifier
1073911574
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12984 Issued in CA
Practice address
778 Middlebury Rd
Middlebury, CT 06762-2401
Phone
(203) 758-2471
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 003366 CT
Occupational Therapist 225X00000X 12984 CA Primary

Addresses

Primary practice location

778 Middlebury Rd
Middlebury, CT 06762-2401

Mailing address

Kalankisthan 14
Kathmandu, KATHMANDU 14
NP

Other names 1

  • Shobha Neupane Professional name

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
003366CTMDNeurorehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1073911574",
    "addresses": [
        {
            "country_code": "NP",
            "country_name": "Nepal",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "KALANKISTHAN 14",
            "city": "KATHMANDU",
            "state": "KATHMANDU",
            "postal_code": "14"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MIDDLEBURY RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622401",
            "telephone_number": "203-758-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUPANE",
        "first_name": "SHOBHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CT",
            "license": "003366",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOBHA",
            "last_name": "NEUPANE",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.