IndividualActive
Maribeth Shanley
NPI 1083014476 · Occupational Therapy Assistant · Syracuse, NY
Provider details
- NPI number
- 1083014476
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00502-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
918 James St
Syracuse, NY 13203-2500
Phone: (315) 592-1717
Street-level locationGet directions
Mailing address
159 W 1st St
Oswego, NY 13126-2045
Registry dates
- Enumerated
- 2014-09-04
- Last updated
- 2014-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.