Individual provider Active NPI

Aram Shadoyan

  • Occupational Therapy Assistant
  • Philadelphia, PA
National Provider Identifier
1225551120
Registry record updated Jul 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP008813 Issued in PA
Practice address
184 Bethlehem Pike
Philadelphia, PA 19118-2815
Phone
(215) 247-5311
NPI assigned
Jul 23, 2017
Last updated
Jul 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2017

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 OP008813 PA Primary

Addresses

Primary practice location

184 Bethlehem Pike
Philadelphia, PA 19118-2815

Mailing address

1825 Bridgetown Pike Apt 212
Feasterville Trevose, PA 19053-2371
Phone (267) 975-3412

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

LicenseStateTypeSpecialty
OP008813PAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500768000000",
    "number": "1225551120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BRIDGETOWN PIKE APT 212",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190532371",
            "telephone_number": "267-975-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BETHLEHEM PIKE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182815",
            "telephone_number": "215-247-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADOYAN",
        "first_name": "ARAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2017-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP008813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2017; 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.