Individual provider Active NPI

Shannon Marie Zigenfus, OT

  • Occupational Therapist
  • Hornell, NY
National Provider Identifier
1881099828
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019081 Issued in NY
Practice address
1 Bethesda Dr
Hornell, NY 14843-1048
Phone
(607) 324-6974
Fax
(607) 324-6994
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019081 NY Primary

Addresses

Primary practice location

1 Bethesda Dr
Hornell, NY 14843-1048

Mailing address

1 Bethesda Dr
Hornell, NY 14843-1048
Phone (607) 324-6974

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

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1881099828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHESDA DR",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431048",
            "telephone_number": "607-324-6974",
            "fax_number": "607-324-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHESDA DR",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431048",
            "telephone_number": "607-324-6974",
            "fax_number": "607-324-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGENFUS",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.