Joanna Rose Shaw, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010913 Issued in NY

Practice address

16 Lucas Ave Ste 201
Kingston, NY 12401-3708

Phone

(845) 514-2094

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Complete OT,PT,SLP Services, PLLC

  • Early Intervention Provider Agency
  • Greenville, NY
  • NPI 1336453703
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1427728294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CARROLL ST",
            "city": "TILLSON",
            "state": "NY",
            "postal_code": "124861216",
            "telephone_number": "917-880-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LUCAS AVE STE 201",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013708",
            "telephone_number": "845-514-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOANNA",
        "middle_name": "ROSE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasar Sharif, M.D.
• Che Wharton Sharp, P.T.
• Diana Marie Shaver
• Ernest C Shaw, MD
• Jessica Shaw, LCSW
• Noreen Marie Sheehan
• Maryann E Sheeley, R.PH.
• Jennifer Laura Shepherd, MSW
• Michael Sheran, MD
• Denise B Sherman, LCSW

• Occupational Therapy Assistant in Kingston, NY
• Providers in Kingston, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.