Active NPI
Darlene Marie Shephard, OTR/L,CLT
- Occupational Therapist
- Indiana, PA
National Provider Identifier
1003054073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC003417L
- Practice address
- 835 Hospital Rd
Indiana, PA 15701-3629 - Phone
- (724) 357-7068
- Fax
- (724) 357-6984
- NPI assigned
- Jan 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC003417L | PA | Primary |
Addresses
Primary practice location
835 Hospital Rd
Indiana, PA 15701-3629
Mailing address
835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC003417L | PA | MD | Occupational Therapist |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1031a3cd-9903-4995-baa5-734895a3e2a2/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1003054073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 HOSPITAL RD",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013629",
"telephone_number": "724-357-7068",
"fax_number": "724-357-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 HOSPITAL RD",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013629",
"telephone_number": "724-357-7068",
"fax_number": "724-357-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHARD",
"first_name": "DARLENE",
"middle_name": "MARIE",
"credential": "OTR/L,CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC003417L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.