Ruchir Shah, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

019343 Issued in NY

Practice address

274 W Broadway
Long Beach, NY 11561-3911

Phone

(516) 431-1400

NPI assigned

Apr 22, 2015

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Proactive Occupational Therapy PC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1710383930
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1366839722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STEVEN DR",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571009",
            "telephone_number": "516-302-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613911",
            "telephone_number": "516-431-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHIR",
        "name_prefix": "Mr.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea C Scott, LCSW
• Joan Scotto, M.S., CCC-SLP
• Avigail Sdayeb
• Senior'S Alternative Physical Therapy PC
• Yvonne Ann Shafranek, MS.ED
• Shefali I. Shah, M.D.
• Avivit Shalom
• Glen Shanock, DDS
• Syeda Sharieff
• Jacqueline Sharkey

• Occupational Therapist in Long Beach, NY
• Providers in Long Beach, 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 Apr 22, 2015; 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.