Active NPI
Shobana R Shenoy, OTR-L
- Occupational Therapist
- Princeton, NJ
National Provider Identifier
1518088657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00537300
- Practice address
- 17 Norbridge Dr
Princeton, NJ 08540-6119 - Phone
- (301) 379-2877
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00537300 | NJ | Primary |
Addresses
Primary practice location
17 Norbridge Dr
Princeton, NJ 08540-6119
Mailing address
17 Norbridge Dr
Princeton, NJ 08540-6119
Phone (301) 379-2877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00537300 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1518088657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 NORBRIDGE DR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406119",
"telephone_number": "301-379-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 NORBRIDGE DR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406119",
"telephone_number": "301-379-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOY",
"first_name": "SHOBANA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "OTR-L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00537300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.