| Mrs Shana Loren Mathers, OTR | |
|
2050 Tilden Ave, Box 1000, New Hartford, NY 13413-3613 | |
| (315) 797-3114 | |
| (315) 624-0474 |
| Full Name | Mrs Shana Loren Mathers |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2050 Tilden Ave, New Hartford, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497096176 | NPI | - | NPPES |
| 00313539 | Medicaid | NY | |
| 01815443 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 017558-1 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shana Loren Mathers, OTR 2050 Tilden Ave, Box 1000, New Hartford, NY 13413-3613 Ph: (315) 797-3114 | Mrs Shana Loren Mathers, OTR 2050 Tilden Ave, Box 1000, New Hartford, NY 13413-3613 Ph: (315) 797-3114 |
Ms. Jamie Marie Martineau, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Marks Pl, New Hartford, NY 13413 Phone: 315-796-3013 | |
Mrs. Colleen Klein Sunderlin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 Tilden Ave, Box 1000, New Hartford, NY 13413 Phone: 315-797-3114 Fax: 315-624-0474 | |
Miss Sara Totaro, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4747 Middle Settlement Rd, New Hartford, NY 13413 Phone: 315-793-8500 | |
Ms. Ellen L Hanna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 Tilden Ave, Box 1000, New Hartford, NY 13413 Phone: 315-797-3114 Fax: 315-624-0474 | |
Ms. Rachel S Givens, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 Tilden Ave, Box 1000, New Hartford, NY 13413 Phone: 315-797-3114 Fax: 315-624-0474 | |
Mrs. Lori A Sieffert, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Oxford Rd, New Hartford, NY 13413 Phone: 315-624-1220 | |
Karen Moffett, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 Tilden Ave # 1000, New Hartford, NY 13413 Phone: 315-797-3114 |