Shawnette Bennett, OTA

Primary specialty

Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X

License

006811 Issued in NY

Practice address

25951 147TH Dr
Rosedale, NY 11422-2925

Phone

(347) 292-7241

NPI assigned

Oct 26, 2017

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

State licenses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1982116380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25951 147TH DR",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25951 147TH DR",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222925",
            "telephone_number": "347-292-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SHAWNETTE",
        "name_prefix": "Ms.",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "NY",
            "license": "006811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadege Belhomme
• Stephanie Belizaire
• Breanna Chavioleyette Bell, LPN
• Mila Bello
• Gabriel George Benitez, RN
• Sheilla Bermingham
• Annette Bernardin
• Antonious Samir Beshet
• Tiffany Amanda Bey, OTR/L
• Susan May Billett-Greene

• Environmental Modification Occupational Therapy Assistant in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Environmental Modification Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.