Individual provider Active NPI

Jennifer Cohen Shields, MS, OTR/L

  • Occupational Therapist
  • Suffern, NY
National Provider Identifier
1497297410
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
021012 Issued in NY
Practice address
676 Haverstraw Rd
Suffern, NY 10901-2904
Phone
(845) 596-9181
NPI assigned
Nov 8, 2016
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 021012 NY Primary

Addresses

Primary practice location

676 Haverstraw Rd
Suffern, NY 10901-2904

Mailing address

676 Haverstraw Rd
Suffern, NY 10901-2904
Phone (845) 596-9181

Other names 1

  • Jennifer Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190710001997 NY Practitioner - Occupational Therapist in Private Practice 4284969478 Reassigns benefits to 3 organizations
I20250520004587 NJ Practitioner - Occupational Therapist in Private Practice 4284969478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians

Practice addresses (Care Compare)

233 N Main St
New City, NY 10956-4018
Phone (845) 317-0173

500 N Columbus Ave
Mount Vernon, NY 10552-1335
Phone (914) 266-3796

580 W Montauk Hwy
West Babylon, NY 11704-8307
Phone (631) 333-7112

581 Old White Plains Rd
Tarrytown, NY 10591-5079
Phone (914) 247-0002

600 Lake St
West Harrison, NY 10604-1505
Phone (914) 371-3510

644 Goffle Rd
Hawthorne, NJ 07506-3452
Phone (973) 435-7013

65 Crisfield St
Yonkers, NY 10710-1205
Phone (914) 429-0677

79 Flint Rd
Millbrook, NY 12545-6410
Phone (845) 266-2003

9 Saxon Woods Rd
White Plains, NY 10605-5247
Phone (914) 228-2415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021012NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince May 26, 2019 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Feb 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients

Locations

644 Goffle Rd
Hawthorne, NJ 07506
Phone (201) 689-7991

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1497297410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 HAVERSTRAW RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012904",
            "telephone_number": "845-596-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 HAVERSTRAW RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012904",
            "telephone_number": "845-596-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN SHIELDS",
        "first_name": "JENNIFER",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.