Active NPI
Jasmine Shah, OTR/L
- Occupational Therapist
- Cary, NC
National Provider Identifier
1902441744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12918
- Practice address
- 303 Page Square Dr
Cary, NC 27513-6200 - Phone
- (919) 539-8920
- NPI assigned
- Nov 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12918 | NC | Primary |
Addresses
Primary practice location
303 Page Square Dr
Cary, NC 27513-6200
Mailing address
303 Page Square Dr
Cary, NC 27513-6200
Phone (919) 539-8920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4505 Fair Meadows LN
Suite 207
Raleigh, NC 27607-6449
Phone (919) 787-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12918 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy M. Mackowsky, OD, PA | Single Specialty | Current | Accepting new patients |
Locations
4505 Fair Meadows Ln
Ste 207
Raleigh, NC 27607
Phone (919) 787-7600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1902441744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 PAGE SQUARE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275136200",
"telephone_number": "919-539-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PAGE SQUARE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275136200",
"telephone_number": "919-539-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JASMINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.