Shira Forman, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

012071 Issued in NY

Practice address

445 Central Ave.
Cedarhurst, NY 11516

Phone

(516) 374-3377

Fax

(516) 374-3310

NPI assigned

Nov 8, 2010

Last updated

Nov 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1477854495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTRAL AVE.",
            "address_2": "SUITE 204",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "516-374-3377",
            "fax_number": "516-374-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTRAL AVE.",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "516-374-3377",
            "fax_number": "516-374-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "SHIRA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Five Towns Imaging Medical PC
• Five Towns Medicine, P.C. (Five Towns Medicine and Cardiology)
• Five Towns Medicine, PC
• Five Towns RX Inc
• Melanie Gay Forman, ANP
• Howard Fredrick Foster, LCSW
• Eric L Freeman, MD
• Abraham Moshe Freud, M.ED
• Robert M Fried
• Madeline Sherman Friedenthal, PH.D.

• Occupational Therapist in Cedarhurst, NY
• Providers in Cedarhurst, 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 Nov 8, 2010; 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.