Individual provider Active NPI

Shira Hirsch, OTR/L

  • Occupational Therapist
  • Toms River, NJ
National Provider Identifier
1184070146
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46T00945100 Issued in NJ
Practice address
336 Aldous St
Toms River, NJ 08755-1468
Phone
(917) 453-3708
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 357344 NY
Occupational Therapist 225X00000X 46T00945100 NJ Primary

Addresses

Primary practice location

336 Aldous St
Toms River, NJ 08755-1468

Mailing address

336 Aldous St
Toms River, NJ 08755-1468
Phone (917) 453-3708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713001004 NJ Practitioner - Occupational Therapist in Private Practice 4385971944 Reassigns benefits to 3 organizations
Practice locations: Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homeside Rehab PT OT SLP LLCGroup PAC ID 7810045309, 45 clinicians
Bluemark Rehab LLCGroup PAC ID 5092109140, 8 clinicians

Practice addresses (Care Compare)

441 Route 306
Suite 2
Monsey, NY 10952-1234
Phone (718) 377-5000

9 Kenyon Dr
Lakewood, NJ 08701-4754
Phone (718) 207-7735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46T00945100NJMDOccupational Therapist
357344NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weill PT LLC CurrentSince Mar 1, 2023 Accepting new patients
Premier Rehab Servicesllc CurrentSince Mar 1, 2023 Accepting new patients
Bluemark Rehab LLC CurrentSince Jun 1, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1184070146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 ALDOUS ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551468",
            "telephone_number": "917-453-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 ALDOUS ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551468",
            "telephone_number": "917-453-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "SHIRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "357344",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46T00945100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.