Devora Shimonov Takhalova, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

028763 Issued in NY

Practice address

222 Ocean Pkwy
Brooklyn, NY 11218-3206

Phone

(347) 666-9564

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1326819236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 14TH AVE APT F6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193652",
            "telephone_number": "347-666-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183206",
            "telephone_number": "347-666-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMONOV TAKHALOVA",
        "first_name": "DEVORA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaegul Shim, M.D.
• Mark Inbo Shim, MD
• Stephanie Shimabuku, LCSW
• Aleksandra Shimanovskaya, PHARM D
• Sarah Shimon, MS-CF-SLP
• Betzalel Shimonov, C. PED
• Josef Shimonov, M.D.
• Menachem Shimonov
• Netanel Shimonov, C. PED
• Rivka Shimonov

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 10, 2024; 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.