Thea Shukaliak Neufeld, OTR/L, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

20355 Issued in CA

Practice address

3357 Victoria Ave
Lafayette, CA 94549-4620

Phone

(415) 691-5635

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1912695511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 VICTORIA AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494620",
            "telephone_number": "415-691-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 VICTORIA AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494620",
            "telephone_number": "415-691-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKALIAK NEUFELD",
        "first_name": "THEA",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "20355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satinder Kaur Sheena, RPH
• Deb Shell, AMFT
• Emily Brooke Shenson, CD-L, CD-PIC
• Lynn Davilla Shields, PH.D.
• Nicole Jun Shimotake, ATC
• Lisa Marie Simmons-Slater, MFT
• Christopher A Simmons, M.D.
• Sharlene Ann Simpson Foox, LCSW
• Karin L Simpson Schubert, PT
• Karanjeet Singh

• Pediatric Occupational Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.