Individual provider Active NPI

Karen Gail Shufleder, MA, OTR/L, NYCGTC

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1336398577
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5704-1 Issued in NY
Practice address
203 W 85TH St
Apt 45
New York, NY 10024-3929
Phone
(212) 362-4670
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5704-1 NY Primary

Addresses

Primary practice location

203 W 85TH St
Apt 45
New York, NY 10024-3929

Mailing address

203 W 85TH St
Apt 45
New York, NY 10024-3929
Phone (212) 362-4670

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5704-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1336398577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W 85TH ST",
            "address_2": "APT 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243929",
            "telephone_number": "212-362-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 85TH ST",
            "address_2": "APT 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243929",
            "telephone_number": "212-362-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFLEDER",
        "first_name": "KAREN",
        "middle_name": "GAIL",
        "credential": "MA, OTR/L, NYCGTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "5704-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.