Active NPI
Krupa Shah, MS, OTR/L
- Occupational Therapist
- Parlin, NJ
National Provider Identifier
1114217650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00538500
- Practice address
- 17 Wellesley Rd
Parlin, NJ 08859-1223 - Phone
- (732) 710-9866
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00538500 | NJ | Primary |
Addresses
Primary practice location
17 Wellesley Rd
Parlin, NJ 08859-1223
Mailing address
17 Wellesley Rd
Parlin, NJ 08859-1223
Phone (732) 710-9866
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1114217650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WELLESLEY RD",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591223",
"telephone_number": "732-710-9866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WELLESLEY RD",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591223",
"telephone_number": "732-710-9866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KRUPA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00538500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.