Shanice Allen
Individual provider Active NPI Occupational Therapist · Southampton, NY
NPI 1831827013 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1831827013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- P116863 (NY)
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8520
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.16 of 100
- Quality
- 70
- Improvement activities
- 40
- Cost
- 78.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808003630 | NY | Practitioner - Occupational Therapist in Private Practice | 9638531684 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P116863 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | Current |
Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | Current |
Accepting new patients |
| Fox Rehabilitation Physical Therapy Services LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900
3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | P116863 | NY | Yes |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
223 Old Farm Rd
Riverhead, NY 11901-6614
Phone (347) 852-4971
Other providers in Southampton, NY
- John James Alfarone
- Bahadur Ali
- Mahmud Alkul
- Gabriella Anne Allam
- Medhat Allam
- Alternative Counseling Services, Inc
- Alternatives Counseling Services, Inc.
- Michael Ameres
- Ayush Amin
- Anthony Campo MD PC
All providers in Southampton, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.