Individual provider Active NPI

Shari Ellen Vayda, MA, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1205081817
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008334-1 Issued in NY
Practice address
39 W 14TH St Ste 307
New York, NY 10011-7405
Phone
(646) 325-8463
Fax
(212) 414-2777
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008334-1 NY Primary

Addresses

Primary practice location

39 W 14TH St Ste 307
New York, NY 10011-7405

Mailing address

39 W 14TH St Ste 307
New York, NY 10011-7405
Phone (646) 325-8463

Other names 1

  • Shari Ellen Rouder-Vayda Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
008334-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1205081817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST STE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117405",
            "telephone_number": "646-325-8463",
            "fax_number": "212-414-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST STE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117405",
            "telephone_number": "646-325-8463",
            "fax_number": "212-414-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYDA",
        "first_name": "SHARI",
        "middle_name": "ELLEN",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "ROUDER-VAYDA",
            "middle_name": "ELLEN",
            "credential": "MA, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.