Kelly Shimabukuro, MSOT, OTR
Occupational Therapist in Westfield, New Jersey
1194483925- Practice location
- 560 Springfield Ave, Westfield, NJ 07090-1024
- Phone
- 908-233-0100
- Fax
- —
- Last updated
- November 29, 2021
Kelly Shimabukuro is an Occupational Therapist based in Westfield, NJ. Kelly Shimabukuro practices in Westfield, NJ and has the professional credentials of MSOT, OTR. The NPI Number for Kelly Shimabukuro is 1194483925 and holds a License No. 46TR01011800 (NJ). The current practice location address for Kelly Shimabukuro is 560 Springfield Ave, Westfield, NJ 07090-1024 and can be reached out via phone at 908-233-0100.
Provider Profile Details
- NPI Number
- 1194483925
- Provider Name
- Kelly Shimabukuro
- Credential
- MSOT, OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 560 Springfield Ave, Westfield, NJ 07090-1024
- Phone Number
- 908-233-0100
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 29, 2021
- Last Update Date
- November 29, 2021
- Certification Date
- November 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 560 Springfield Ave
Westfield, NJ 07090-1024 - City
- Westfield
- State
- New Jersey
- Zip
- 07090-1024
- Phone Number
- 908-233-0100
Provider Business Mailing Address Details
- Address
- 3 Adams Ter
Clifton, NJ 07013-4048 - City
- Clifton
- State
- NJ
- Zip
- 07013-4048
- Phone Number
- 862-200-0300
License Information
- License Number
- 46TR01011800
- License State
- NJ
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly Shimabukuro, MSOT, OTR?
The NPI number of Kelly Shimabukuro, MSOT, OTR is 1194483925. It was assigned on November 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Kelly Shimabukuro, MSOT, OTR?
Kelly Shimabukuro, MSOT, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01011800.
Where does Kelly Shimabukuro, MSOT, OTR practice?
The practice location is 560 Springfield Ave, Westfield, NJ 07090-1024. The office can be reached at 908-233-0100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194483925 directly on the NPPES registry website.