Shalyn Eakin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC012319 Issued in PA

Practice address

4040 Market St
Philadelphia, PA 19104-3003

Phone

(814) 440-7892

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2014.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1003238064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PENNSYLVANIA AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303513",
            "telephone_number": "814-440-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043003",
            "telephone_number": "814-440-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKIN",
        "first_name": "SHALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Ride Inc
• Ralph C Eagle Jr., M.D.
• Eak
• Alexis Eakin, MS, PA-C
• Eliane Festa Eakin, MD PHD
• Doreen Rita Martis Eakman, MPH, MS
• Christin Elizabeth Ealer
• Ruth K. Eanes, APN
• Ear Nose & Throat Professional Associates
• Earl R Brown MD PC

• All providers in Philadelphia, PA
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.