MS. SHANNON KRISTIN REARDON (NPI# 1063054047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063054047 |
| Entity Type | Individual |
| Full Name | MS. SHANNON KRISTIN REARDON |
| Practice Address |
5 Dakota Dr New Hyde Park NY 11042-1107 |
| Mailing Address |
320 Nassau Rd Apt 112 Huntington NY 11743-4359 |
| Practice Telephone | 6315211926 |
| Mailing Telephone | 6315211926 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 016409 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497854103 | Shannon M Reardon | Physical Therapist | 715 S Taft Ave, Fremont, OH 43420-3200 | 2006-09-21 |
| Street Address |
5 DAKOTA DR |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366589731 | St Mary's Hospital for Children, Inc. | Home Health | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2007-02-01 |
| 1245845676 | Cheynese Francis | Physical Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2020-09-11 |
| 1740835545 | Jessica Lauren D'arienzo | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2019-08-08 |
| 1679069785 | Andre Pryce | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2018-07-02 |
| 1326555954 | Ming Cheung | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042 | 2018-01-04 |
| 1871008979 | Michelle Bardin | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2017-12-11 |
| 1760918064 | Matthew Rosenboom | General Acute Care Hospital | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2017-05-04 |
| 1457701815 | Scott Wolfe | Student in an Organized Health Care Education/Training Program | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2016-06-16 |
| 1538545876 | St. Mary's Hospital Case Management | Home Health | 5 Dakota Dr, Suite 200, New Hyde Park, NY 11042-1107 | 2015-08-10 |
| 1518373349 | Maria Theresa Giancarli | Speech-Language Pathologist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901310 | Elena Kalosinis | Occupational Therapist | 1723 Aladdin Ave, New Hyde Park, NY 11040-4011 | 2020-04-23 |
| 1073073805 | Jeff James | Occupational Therapist | 1105 Hillside Ave, New Hyde Park, NY 11040-2703 | 2019-03-20 |
| 1174091516 | Amanda Ashley Turner I | Occupational Therapist | 20 S 11th St, New Hyde Park, NY 11040-4827 | 2018-11-04 |
| 1043726961 | Reshma Thomas | Occupational Therapist | 8241 Langdale St Unit 112b, New Hyde Park, NY 11040-1820 | 2017-12-15 |
| 1770020117 | Sara Harmon | Occupational Therapist | 27111 76th Ave Ste A1, New Hyde Park, NY 11040-1436 | 2017-01-24 |
| 1972055929 | Lillian Hou | Occupational Therapist | 119 Nugent St, New Hyde Park, NY 11040-1915 | 2016-10-25 |
| 1770955064 | Sherin Ann Koshy | Occupational Therapist | 27107 77th Rd, New Hyde Park, NY 11040-1427 | 2015-10-26 |
| 1205263233 | Marie Michelle Martinez | Occupational Therapist | 37 Wilton St, New Hyde Park, NY 11040-3829 | 2013-10-04 |
| 1861737454 | Nancy Mathai Philip | Occupational Therapist | 21111 76th Ave, New Hyde Park, NY 11040-1433 | 2012-12-07 |
| 1164789624 | Debbie G Zaslavsky | Occupational Therapist | 8017 269th St, New Hyde Park, NY 11040-1523 | 2012-04-20 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.