Marcia N Shea, OTD, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027263-01 Issued in NY

Practice address

100 College Pkwy Ste 100
Buffalo, NY 14221-6800

Phone

(716) 871-9915

Fax

(716) 362-1553

NPI assigned

Dec 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Unlocking the Spectrum

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1679895718
  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1306115118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BOXELDER LN",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142281351",
            "telephone_number": "716-421-8375",
            "fax_number": "716-362-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-871-9915",
            "fax_number": "716-362-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MARCIA",
        "middle_name": "N",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001750A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005997A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027263-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn M. Montgomery Community Health Services
• Colleen Shea
• Janine Shea
• Lisa Nicole Shea, FNP
• Lynn Chavanne Shea I, M.A. CCC-SLP
• Maureen A Shea, PA
• Meggan Shea, F.N.P
• Nicole Shea, PH.D.
• Trisha Shea, RDN
• Adam David Shean, PA-C

• Occupational Therapist in Buffalo, NY
• Providers in Buffalo, 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 Oct 5, 2023; 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.