Organization Active NPI

Shayena Donaldson-Fortune Occupational Therapy Services, PLLC

  • Occupational Therapist
  • Valley Stream, NY
National Provider Identifier
1487325783
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SHAYENA DONALDSON-FORTUNE OCCUPATIONAL THERAPY SERVICES, PLLC
Practice address
100 Lotus Oval N
Valley Stream, NY 11581-2328
Phone
(917) 569-5129
Fax
(516) 792-6803
NPI assigned
Sep 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Authorized official

Name
Mrs. Shayena Donaldson-Fortune, MSOT, OTR/L
Title
Owner/Occupational Therapist
Phone
(917) 569-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

100 Lotus Oval N
Valley Stream, NY 11581-2328

Mailing address

PO Box 445
Hewlett, NY 11557-0445
Phone (917) 569-5129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632614400000",
    "number": "1487325783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570445",
            "telephone_number": "917-569-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LOTUS OVAL N",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812328",
            "telephone_number": "917-569-5129",
            "fax_number": "516-792-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYENA DONALDSON-FORTUNE OCCUPATIONAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A",
        "authorized_official_last_name": "DONALDSON-FORTUNE",
        "authorized_official_first_name": "SHAYENA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "917-569-5129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.