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

Individual provider Pediatric Occupational Therapist · NPI 1487963906

Shannon Grady-Tarentino, OTR/L is a Pediatric Occupational Therapist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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

40 Merrill Ave
Staten Island, NY 10314-3312
Phone: (718) 370-7529
Fax: (718) 370-7551
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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 · Licence 009275-1 (NY)

Record details

NPI number1487963906
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 1, 2010
Last updated in NPPESOctober 1, 2010

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