Laila Nickol Shalbafian, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21485 Issued in FL

Practice address

15339 NW 7TH St
Pembroke Pines, FL 33028-1841

Phone

(954) 554-5974

NPI assigned

Oct 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lifestyle Therapy Inc

  • Clinic/Center
  • Pembroke Pines, FL
  • NPI 1033838651
  NPD Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1639711245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15339 NW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281841",
            "telephone_number": "954-554-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15339 NW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281841",
            "telephone_number": "954-554-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 NW 8th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304452",
            "country_code": "US",
            "telephone_number": "786-339-8871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALBAFIAN",
        "first_name": "LAILA",
        "middle_name": "NICKOL",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harsh A. Shah, M.D.
• Zara H Shah, DO
• Zarvish Shahbaz, PMHNP
• Kiarah Shaheed
• Honey Shair, MS
• Vladislav Shalmiyev, MD
• Harris Allen Shampain, MD
• Jennifer Shamus
• Khine Swe Shan, MD
• Richard Scott Shannon, PTA

• Occupational Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.