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

Individual provider Pediatric Occupational Therapist · NPI 1639034218

Shane Hake, MS, OTR/L is a Pediatric Occupational Therapist in Kenmore, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

3767 Delaware Ave
Kenmore, NY 14217-1040
Phone: (716) 874-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1639034218
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

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