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

Individual provider Occupational Therapist · NPI 1407403876

Shannen Kolesar, MS, OTR/L is an Occupational Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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

200 Jefferson Blvd
Staten Island, NY 10312-3329
Phone: (929) 284-3318
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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 023871 (NY)

Record details

NPI number1407403876
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedAugust 21, 2019
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

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