Individual provider Active NPI

Yevgeniya Shister-Hahn, COTA/L

  • Occupational Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1134816309
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
008404 Issued in NY
Practice address
376 Bay 44TH St
Brooklyn, NY 11214-7103
Phone
(718) 906-5400
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 008404 NY Primary

Addresses

Primary practice location

376 Bay 44TH St
Brooklyn, NY 11214-7103

Mailing address

2765 Strickland Ave FL 2
Brooklyn, NY 11234-6428
Phone (917) 774-2266

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

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1134816309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 STRICKLAND AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346428",
            "telephone_number": "917-774-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 BAY 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147103",
            "telephone_number": "718-906-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISTER-HAHN",
        "first_name": "YEVGENIYA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.