# KAY SHORE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205839628
- **Gender:** F
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTR2053 | AR | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 02/21/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000227851 | AZ STATE DES CMDP | AZ |
| 01 | — | 189208700 | DOL OWCP | AZ |
| 01 | — | 1Z6798 | HEALTH NET | AZ |
| 01 | — | 26144 | MEDICARE GROUP ID | AZ |
| 01 | — | 64-00187 | UNITED HEALTH PLAN | AZ |
| 05 | — | 643800 | — | AZ |
| 01 | — | AZ0295990 | BCBS AZ | AZ |
| 01 | — | F02383 | PHOENIX HEALTH PLAN | AZ |