MEDICARE: SHAYENA DONALDSON-FORTUNE OCCUPATIONAL THERAPY SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1487325783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAYENA DONALDSON-FORTUNE OCCUPATIONAL THERAPY SERVICES, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 445
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-0445
Country	:	US
Telephone Number	:	917-569-5129
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 LOTUS OVAL N
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-2328
Country	:	US
Telephone Number	:	917-569-5129
Fax Number	:	516-792-6803

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	MRS. SHAYENA DONALDSON-FORTUNE
Credential	:	MSOT, OTR/L
Telephone Number	:	917-569-5129

Provider Enumeration Date	:	09/26/2021
Last Update Date	:	09/26/2021

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1275593626 — ERIC N. POTOCKI
Practice Location Address:

25W330 GENEVA RD
CAROL STREAM, IL
60188-2328

Practice Phone: 630-310-0680
Practice Fax:

1063529840 — DR. ERIC N POTOCKI DC
Practice Location Address:

25W330 GENEVA RD
CAROL STREAM, IL
60188-2328

Practice Phone: 630-310-0680
Practice Fax:

1003163312 — WILLIAM VOGDS DC LTD
Practice Location Address:

25W330 GENEVA RD
CAROL STREAM, IL
60188-2328

Practice Phone: 630-605-1741
Practice Fax:

1790741569 — BRADSHAW HOME MEDICAL EQUIPMENT LLC.
Practice Location Address:

9350 E VALLEY RD , STE C.
PRESCOTT VALLEY, AZ
86314-2328

Practice Phone: 928-775-8282
Practice Fax: 928-775-8869

1336459627 — SUSIANE MANNING
Practice Location Address:

2328 HIDDEN VALLEY CIR
SANDY, UT
84092-5646

Practice Phone: 801-209-6985
Practice Fax:

Directions to “SHAYENA DONALDSON-FORTUNE OCCUPATIONAL THERAPY SERVICES, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.