Active NPI
Shannon Page Kraus, OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1962731596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015935
- Practice address
- 151 E 67TH St
New York, NY 10065-5964 - Phone
- (212) 988-9500
- Fax
- (212) 570-6690
- NPI assigned
- Dec 10, 2009
- Last updated
- Dec 10, 2009
- 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 Therapist | 225X00000X | 015935 | NY | Primary |
Addresses
Primary practice location
151 E 67TH St
New York, NY 10065-5964
Mailing address
PO Box 34
Vermontville, NY 12989-0034
Phone (917) 715-9639
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 |
|---|---|---|---|
| 015935 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1962731596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "VERMONTVILLE",
"state": "NY",
"postal_code": "129890034",
"telephone_number": "917-715-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 E 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100655964",
"telephone_number": "212-988-9500",
"fax_number": "212-570-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "SHANNON",
"middle_name": "PAGE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015935",
"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 Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.