Courtney Shannon McCall, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

022448-1 Issued in NY

Practice address

15813 72ND Ave
Fresh Meadows, NY 11365-1140

Phone

(718) 380-7600

NPI assigned

May 16, 2018

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1407346299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 NORTH RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 72ND AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651140",
            "telephone_number": "718-380-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "COURTNEY",
        "middle_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "022448-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manio Nicole Mavroukas
• Esther Max, FNP-BC
• Mazal M Matayev SLP PC
• Melissa Mazer, M.S ED
• Arlene Mazzella, P.A.
• David McCalla, PA-C
• Kathleen Collins McCormick, M.S.
• Morgan McDermott
• Andrew McDonnell, MD
• Andrea McFarlin, PT

• Pediatric Occupational Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.