Active NPI
Shah Noor, OT
- Occupational Therapist
- Montgomery, AL
National Provider Identifier
1265983415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5239
- Practice address
- 207 Montgomery St # 803
Montgomery, AL 36104-3541 - Phone
- (586) 646-0035
- NPI assigned
- Oct 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5239 | AL | Primary |
Addresses
Primary practice location
207 Montgomery St # 803
Montgomery, AL 36104-3541
Mailing address
207 Montgomery St # 803
Montgomery, AL 36104-3541
Phone (586) 646-0035
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5239 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1265983415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MONTGOMERY ST # 803",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043541",
"telephone_number": "586-646-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MONTGOMERY ST # 803",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043541",
"telephone_number": "586-646-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOOR",
"first_name": "SHAH",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AL",
"license": "5239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.