Shobha Sandeep Menon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8568 Issued in MA

Practice address

615 Heath St
Chestnut Hill, MA 02467-2160

Phone

(617) 879-2907

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1346698412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TOWN HOUSE DR",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601914",
            "telephone_number": "617-953-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HEATH ST",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672160",
            "telephone_number": "617-879-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "SHOBHA",
        "middle_name": "SANDEEP",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "8568",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MA",
            "license": "8568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee M McKinney, M.D.
• Roseanna Hemenway Means, MD
• Leiqing Mei
• Melissa Smith DMD, PLLC
• Gianna Eileen Meloni, PMHNP-BC
• Christine Louise Merkle, PH.D.
• Jane Metcalf
• Andrei Metelitsa, M.D., FRCPC
• Anna Keating Michalowski, MD
• Corinne Michaud

• Occupational Therapist in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.