Individual provider Active NPI

Leah Shoshana Homnick, OTA

  • Occupational Therapy Assistant
  • New York, NY
National Provider Identifier
1902558026
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
010999 Issued in IL
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

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
010999ILMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shair Home Care Physical Therapy PC CurrentSince Jan 26, 2022 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.

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.

Verify at the official NPI Registry.