Judy Elizabeth Shincarick, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT01000476 Issued in DC

Practice address

4759 Reservoir Rd NW
Washington, DC 20007-1921

Phone

(202) 944-3072

NPI assigned

Mar 23, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Lab School of Washington

  • Clinical Psychologist
  • Washington, DC
  • NPI 1770710014
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1265894851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 LINCOLN ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501410",
            "telephone_number": "301-767-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071921",
            "telephone_number": "202-944-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINCARICK",
        "first_name": "JUDY",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT01000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT010000476",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mi Ran Shin, M.D.
• Paul Ray Shin, MD
• Robbyn T Shin, LPC
• Thomas Shin, DMD
• Young Shin
• Arthur Shinder, DDS
• Gennady Shinder
• Shine Homes LLC
• Shining Stars Montessori Academy Public Charter School
• Shiningstars Pediatric Dentistry PC

• Occupational Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Occupational Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.