Kristi Shaver, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP009859 Issued in PA

Practice address

336 S West End Ave
Lancaster, PA 17603-5043

Phone

(717) 393-0419

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

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

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1598338220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FARMINGTON WAY",
            "city": "NEW PROVIDENCE",
            "state": "PA",
            "postal_code": "175609428",
            "telephone_number": "717-823-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S WEST END AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176035043",
            "telephone_number": "717-393-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "KRISTI",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Sharp Jr., MD
• Laura M Sharp, PSYCHOLOGIST
• Rebecca C Sharrah, LSW
• Nicole Shatto
• Kristin Shaub, CRNP
• Justin M Shaw, M.D.
• Lauren Nicole Shaw, MS OTRL
• Lavella Shay, LPN
• David Shchegol, PHARMD
• Tami Lynn Shea, AUD

• Occupational Therapy Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.