Shena Brown, OTR/L
Individual provider Active NPI Occupational Therapist · Freeport, NY
NPI 1114230877 · NPPES record last updated Jul 22, 2010
Key facts
- NPI
- 1114230877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0152091 (NY)
- Practice address
- 273 Pennsylvania Ave
Freeport, NY 11520-1328 - Phone
- (516) 661-3360
- NPI assigned
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0152091 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0152091 | NY | Yes |
Addresses
Primary practice location
273 Pennsylvania Ave
Freeport, NY 11520-1328
Mailing address
273 Pennsylvania Ave
Freeport, NY 11520-1328
Phone (516) 661-3360
Other providers in Freeport, NY
- Yolande Bostic
- Braces World LLC
- Genell Lorencia Bradley
- Gennel Tanisha Bradley
- Lisa Brienza
- Leanora Buckley
- Scott Buda I
- Norlito Bunal
- Tiffany L Butler
- Shirley Ann Byer
All providers in Freeport, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.