Active NPI
Sondra Shoshana Shamberg, OT
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1720101546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 02426
- Practice address
- 3309 W Strathmore Ave
Baltimore, MD 21215-3718 - Phone
- (410) 358-7269
- NPI assigned
- Apr 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ergonomics Occupational Therapist | 225XE1200X | 02426 | MD | |
| Human Factors Occupational Therapist | 225XH1300X | 02426 | MD | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 02426 | MD | |
| Pediatric Occupational Therapist | 225XP0200X | 02426 | MD | |
| Occupational Therapist | 225X00000X | 02426 | MD | Primary |
| Specialist | 174400000X | 02426 | MD |
Addresses
Primary practice location
3309 W Strathmore Ave
Baltimore, MD 21215-3718
Mailing address
3309 W Strathmore Ave
Baltimore, MD 21215-3718
Phone (410) 358-7269
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J776 | Other | MD | BCBS |
| 521749043 | Other | MD | DORS |
| 647758500 | Medicaid | MD |
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 |
|---|---|---|---|
| 02426 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1720101546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3309 W STRATHMORE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153718",
"telephone_number": "410-358-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 W STRATHMORE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153718",
"telephone_number": "410-358-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMBERG",
"first_name": "SONDRA",
"middle_name": "SHOSHANA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-08",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "MD",
"license": "02426",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "MD",
"license": "02426",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "MD",
"license": "02426",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MD",
"license": "02426",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "02426",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "02426",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J776",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORS",
"identifier": "521749043",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "647758500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.