National Provider Identifier
Shane Hake, MS, OTR/L
Shane Hake, MS, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1639034218
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- December 17, 2025
- Last Updated
- December 17, 2025
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 27 Pavonia St
- Buffalo, NY 14207-2318
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1639034218
- Entity Type
- Individual
- Last Name
- Hake
- First Name
- Shane
- Credential
- MS, OTR/L
- Mailing Street Address
- 27 Pavonia St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-2318
- Mailing Country
- US
- Mailing Phone
- (585) 236-6188
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- December 17, 2025
- Last Updated
- December 17, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 17, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)