Shannon Lee Jean Kryski, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32002562A Issued in IN

Practice address

4851 Tincher Rd
Indianapolis, IN 46221-3780

Phone

(317) 856-4851

NPI assigned

Nov 11, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1518502855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10849 DAVIS WAY",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382285",
            "telephone_number": "574-217-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 TINCHER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462213780",
            "telephone_number": "317-856-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSKI",
        "first_name": "SHANNON",
        "middle_name": "LEE JEAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002562A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shannon.kryski@genesishcc.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4851 Tincher Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462213780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheryl Krushinski, DDS
• Madeline Blackwell Krusing, MD
• Bonnie Jean Kruszka, NP
• Nicolette Angela Kruzich, PA-C
• Kaytlyn L Kryshak, DC
• Angela Krzyston
• Kok Lim Kua, M.D.
• Chandrashekhar A Kubal, M.D.
• Michael Kubek IV, D.O.
• Michael L. Kuchera, DO

• Occupational Therapy Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapy Assistant in Indiana

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