Shelby Liles, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

111 NW Mock Ave
Blue Springs, MO 64014-2503

Phone

(816) 228-5655

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1003372574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 MOUNT ZION RD",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640766121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW MOCK AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142503",
            "telephone_number": "816-228-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Compass Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268001",
            "country_code": "US",
            "telephone_number": "877-787-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILES",
        "first_name": "SHELBY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNSURE",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William W Lewis, D.C.
• Emily C Libla, SLP
• Russell E Lieberman, D.C.
• Debra Kim Lietzke, FNP-C
• Alexis Liggett, FNP-C
• Lincare Inc.
• Larry Arnold Link Jr., RPH
• Samantha Lee Linville, PT, DPT, SCS
• Michael Joseph Liston, MD
• Litton Pathology Associated PC

• Occupational Therapy Assistant in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.