Individual provider Active NPI

Maya Shkolnik, OTR/L

  • Occupational Therapist
  • Worcester, MA
National Provider Identifier
1346713070
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022479 Issued in NY
Practice address
145 Front St Unit 1223
Worcester, MA 01608-1450
Phone
(917) 403-8806
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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 022479 NY Primary

Addresses

Primary practice location

145 Front St Unit 1223
Worcester, MA 01608-1450

Mailing address

145 Front St Unit 1223
Worcester, MA 01608-1450

Other practice location 1

37 W 65th St Fl 5
New York, NY 10023-6610
Phone (212) 580-0080

Other practice location 2

1651 Coney Island Ave
Brooklyn, NY 11230-5849
Phone (718) 998-1415

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

State licenses

LicenseStateTypeSpecialty
022479NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Kassinove, Psychologist PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1346713070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FRONT ST UNIT 1223",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FRONT ST UNIT 1223",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081450",
            "telephone_number": "917-403-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 W 65th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100236610",
            "country_code": "US",
            "telephone_number": "212-580-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112305849",
            "country_code": "US",
            "telephone_number": "718-998-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHKOLNIK",
        "first_name": "MAYA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.