Active NPI
Leah Shoshana Homnick, OTA
- Occupational Therapy Assistant
- New York, NY
National Provider Identifier
1902558026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 010999
- Practice address
- 473 FDR Dr
New York, NY 10002-2024 - Phone
- (212) 475-2000
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 010999 | IL | Primary |
Addresses
Primary practice location
473 FDR Dr
New York, NY 10002-2024
Mailing address
457 FDR Dr Apt A301
New York, NY 10002-3954
Phone (917) 554-1459
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 |
|---|---|---|---|
| 010999 | IL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shair Home Care Physical Therapy PC | Current | Accepting new patients |
Locations
473 Fdr Dr
New York, NY 10002
Phone (212) 475-2000
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1295050268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1902558026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 FDR DR APT A301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023954",
"telephone_number": "917-554-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 FDR DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100022024",
"telephone_number": "212-475-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMNICK",
"first_name": "LEAH",
"middle_name": "SHOSHANA",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "010999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.