Active NPI
Shoshana Schmidt, OTR/L
- Pediatric Occupational Therapist
- Spring Valley, NY
National Provider Identifier
1124702386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 007378-01
- Practice address
- 105 S Madison Ave
Spring Valley, NY 10977-5474 - Phone
- (551) 486-4187
- NPI assigned
- Jun 9, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 007378-01 | NY | Primary |
Addresses
Primary practice location
105 S Madison Ave
Spring Valley, NY 10977-5474
Mailing address
492 Windsor Rd
Bergenfield, NJ 07621-4131
Phone (551) 486-4187
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007378-01 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1124702386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 WINDSOR RD",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214131",
"telephone_number": "551-486-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S MADISON AVE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775474",
"telephone_number": "551-486-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "SHOSHANA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "007378-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.