Kelly Shimabukuro LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

KELLY SHIMABUKURO LLC

Practice address

164 Franklin St Apt 1
Secaucus, NJ 07094-4163

Phone

(862) 200-0300

NPI assigned

Aug 13, 2025

Organization subpart

No

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

Authorized official

Name

Kelly Shimabukuro, OTR/LNPI 1194483925

Title

Owner/Occupational Therapist

Phone

(862) 200-0300

Specialties & licenses 1

Addresses

Other names 1

• Next Step OT Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Shimabukuro, MSOT, OTR

  • Occupational Therapist
  • Westfield, NJ
  • NPI 1194483925
  NPD Authorized official

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1366328486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 FRANKLIN ST APT 1",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944163",
            "telephone_number": "862-200-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 FRANKLIN ST APT 1",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944163",
            "telephone_number": "862-200-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY SHIMABUKURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "SHIMABUKURO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "862-200-0300",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Step OT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naru Kang, DDS
• Harmon Barry Kaplan, D.M.D.
• Rebekah Katsandris, MD
• Maryam Kazmi, DO
• Alexa Kearney, LPC
• Erin M Kelly, DPT
• Ayman Khafagi, MD
• Djavlon A Khakimov, DPM
• Ghassan Khani, M.D.
• Sonu Khatri

• Pediatric Occupational Therapist in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.