Active NPI
Shannon O'Neill
- Occupational Therapist
- New York, NY
National Provider Identifier
1396283214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019521-1
- Practice address
- 412 E 73Rd St
4C
New York, NY 10021-3853 - Phone
- (716) 338-2057
- NPI assigned
- Feb 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019521-1 | NY | Primary |
Addresses
Primary practice location
412 E 73Rd St
4C
New York, NY 10021-3853
Mailing address
412 E 73Rd St
4C
New York, NY 10021-3853
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019521-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486771200000",
"number": "1396283214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 E 73RD ST",
"address_2": "4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E 73RD ST",
"address_2": "4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213853",
"telephone_number": "716-338-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-11",
"last_updated": "2017-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019521-1",
"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 Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.