Cheryl Ava Shachaf, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

101806 Issued in MN

Practice address

5710 Baker Rd
Minnetonka, MN 55345-5901

Phone

(612) 790-3620

NPI assigned

May 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy for Me

  • Speech-Language Pathologist
  • Eden Prairie, MN
  • NPI 1669627154
  NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1497964506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MAIN ST SE APT 422",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142950",
            "telephone_number": "612-483-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 BAKER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455901",
            "telephone_number": "612-790-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACHAF",
        "first_name": "CHERYL",
        "middle_name": "AVA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "101806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A643748601",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sersland
• Megan Settle
• Diane Kalin Severin, RN
• Sha'Arim Inc
• Karyn L. Shaarda, FNP-C
• Ira Eden Shai, M.A. M.S.
• Shakti Dental P.C.
• Ryan Phillip Shapin, M.D.
• Fahima Sharif
• M Jane Sharkey, LMFT

• Pediatric Occupational Therapist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.