Active NPI
Kindred Spirits Occupational Therapy PLLC
- Occupational Therapist
- Flushing, NY
National Provider Identifier
1982004495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63017967
- Legal business name
- KINDRED SPIRITS OCCUPATIONAL THERAPY PLLC
- Practice address
- 4160 Main St Ste 209B
Flushing, NY 11355-3899 - Phone
- (917) 933-8503
- Fax
- (917) 463-1056
- NPI assigned
- Sep 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mun S Shieh, OTR
- Title
- Occupational Therapy
- Phone
- (917) 362-2018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 63017967 | NY | Primary |
Addresses
Primary practice location
4160 Main St Ste 209B
Flushing, NY 11355-3899
Mailing address
69-14 183Rd Street Fresh Meadows
New York, NY 11365
Phone (917) 362-2018
Other practice location 1
2116 Ave.P
Brooklyn, NY 11229
Phone (718) 338-4850
Other names 1
- Kindred Spirits OT PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597190400000",
"number": "1982004495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69-14 183RD STREET FRESH MEADOWS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11365",
"telephone_number": "917-362-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 MAIN ST STE 209B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553899",
"telephone_number": "917-933-8503",
"fax_number": "917-463-1056"
}
],
"practiceLocations": [
{
"address_1": "2116 AVE.P",
"address_purpose": "LOCATION",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"country_code": "US",
"telephone_number": "718-338-4850",
"fax_number": "718-338-7117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KINDRED SPIRITS OCCUPATIONAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-03",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A",
"authorized_official_last_name": "SHIEH",
"authorized_official_first_name": "MUN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
"authorized_official_telephone_number": "917-362-2018",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63017967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred Spirits OT PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.