Active NPIIndividual provider

Shaun Kirk, COTA

Occupational Therapy Assistant in Goshen, New York

NPI Number1972970309
Practice location
301 Main St, Suite 3, Goshen, NY 10924-1636
Fax
—
Last updated
September 2, 2015

Shaun Kirk is an Occupational Therapy Assistant based in Goshen, NY. Shaun Kirk practices in Goshen, NY and has the professional credentials of COTA. The NPI Number for Shaun Kirk is 1972970309 and holds a License No. 008370-1 (NY). The current practice location address for Shaun Kirk is 301 Main St, Suite 3, Goshen, NY 10924-1636 and can be reached out via phone at 845-458-8661.

Provider Profile Details

NPI Number
1972970309
Provider Name
Shaun Kirk
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
301 Main St, Suite 3, Goshen, NY 10924-1636
Phone Number
845-458-8661
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2015
Last Update Date
September 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Main St
Suite 3
Goshen, NY 10924-1636
City
Goshen
Zip
10924-1636
Phone Number
845-458-8661
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
301 Main St
Suite 3
Goshen, NY 10924-1636
City
Goshen
State
NY
Zip
10924-1636

License Information

License Number
008370-1
License State
NY
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shaun Kirk, COTA?

The NPI number of Shaun Kirk, COTA is 1972970309. It was assigned on September 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Shaun Kirk, COTA?

Shaun Kirk, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 008370-1.

Where does Shaun Kirk, COTA practice?

The practice location is 301 Main St, Suite 3, Goshen, NY 10924-1636. The office can be reached at 845-458-8661 (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 1972970309 directly on the NPPES registry website.

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