Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nikita Shah, OTR/L

Individual provider Occupational Therapist · NPI 1861983405

Nikita Shah, OTR/L is an Occupational Therapist in Private Practice in Syosset, New York. Qualified in 2018, 8 years ago. Practices with Polaris Physical Therapy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2 Hoagland Ave
Syosset, NY 11791
Phone: (347) 282-9634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 022563 (NY)

Record details

NPI number1861983405
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 18, 2018
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Polaris Physical Therapy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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