Active NPI
Lauren M Shaw, MS-OTR/L
- Occupational Therapist
- Rochester, NY
National Provider Identifier
1659688471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015156-01
- Practice address
- 41 Elmcroft Rd
Rochester, NY 14609-7738 - Phone
- (585) 820-1753
- NPI assigned
- Sep 1, 2010
- 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 | 015156-01 | NY | Primary |
Addresses
Primary practice location
41 Elmcroft Rd
Rochester, NY 14609-7738
Mailing address
41 Elmcroft Rd
Rochester, NY 14609-7738
Phone (585) 820-1753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015156-1 | Other | NY | LICENSE NUMBER |
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 |
|---|---|---|---|
| 015156-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1659688471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 ELMCROFT RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146097738",
"telephone_number": "585-820-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 ELMCROFT RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146097738",
"telephone_number": "585-820-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "LAUREN",
"middle_name": "M",
"credential": "MS-OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015156-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "015156-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.