Active NPI
Nimisha M Shroff, OTR/L
- Occupational Therapist
- Austin, TX
National Provider Identifier
1518139864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 108486
- Practice address
- 706B W Ben White Blvd
Suite Number:160B
Austin, TX 78704-7153 - Phone
- (512) 293-9849
- Fax
- (888) 316-7855
- NPI assigned
- Mar 27, 2008
- Last updated
- May 7, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 108486 | TX | Primary |
| Other Specialist/Technologist | 246Z00000X |
Addresses
Primary practice location
706B W Ben White Blvd
Suite Number:160B
Austin, TX 78704-7153
Mailing address
706B W Ben White Blvd
Suite Number:160B
Austin, TX 78704-7153
Phone (512) 293-9849
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108486 | TX | MD | Occupational Therapist |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Austin, TX
- NPI 1235497322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1518139864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706B W BEN WHITE BLVD",
"address_2": "SUITE NUMBER:160B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047153",
"telephone_number": "512-293-9849",
"fax_number": "888-316-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706B W BEN WHITE BLVD",
"address_2": "SUITE NUMBER:160B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047153",
"telephone_number": "512-293-9849",
"fax_number": "888-316-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROFF",
"first_name": "NIMISHA",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "108486",
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.