Elyce Shwom, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005250 Issued in NY

Practice address

815 Sunrise Hwy
Lynbrook, NY 11563-2922

Phone

(516) 660-3911

NPI assigned

Apr 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Physical and OccupationalGroup PAC ID 0042363186, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pathways Physical & Occupational

  • Physical Therapist
  • Lynbrook, NY
  • NPI 1376783720

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1194969055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 VIAN AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571423",
            "telephone_number": "516-569-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SUNRISE HWY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632922",
            "telephone_number": "516-660-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHWOM",
        "first_name": "ELYCE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelineb Marie Shelley, LCSW-R,ACSW
• Evlyn Shiao, OTR/L
• Janet Shields-Gosley, RN
• Rivka B Shipkin
• Sebastian Shterental, MD
• Lauren Siconolfi
• Khizar Ahmed Siddiqui, PA
• Nancy Sidhom
• Howard Jeffrey Siegel, D.C.
• Warren P Silberstein, MD

• Occupational Therapist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.