Individual provider · Type 1 NPI

Joanna Rose Shaw, COTA

Occupational Therapy Assistant · Kingston, NY

NPI number 1427728294 Active

Practice location

16 Lucas Ave Ste 201
Kingston, NY 12401-3708

Mailing address

17 Carroll St
Tillson, NY 12486-1216

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Occupational Therapy Assistant Primary 224Z00000X010913 (NY)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1427728294

Joanna Rose Shaw, COTA's National Provider Identifier is 1427728294, issued on Sep 14, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Kingston, NY. The record was last updated on Sep 25, 2025.