Izabella Shimanova, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026317 Issued in NY

Practice address

1800 Waring Ave
Bronx, NY 10469-6331

Phone

(718) 379-4400

NPI assigned

Dec 3, 2021

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)

Enrolled

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1801554142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WARING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696331",
            "telephone_number": "718-379-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WARING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696331",
            "telephone_number": "718-379-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMANOVA",
        "first_name": "IZABELLA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrina Shillingford, RN
• Jonathan Gavriel Shiloah, DDS
• Ariel L Shiloh, MD
• Shahedara Shilu
• Chang Shim
• Tania J Shiminski-Maher, RNP
• Beth Shimlock, MD
• Sharon Doreen Shimonov, MA, CASAC-T
• Michelle Shimonova
• Aleksandr Shimunov, OPTITION

• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.