Deborah Kate Shaw, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A2115 Issued in AR

Practice address

102 E Harding St
Morrilton, AR 72110-2047

Phone

(501) 697-9881

Fax

(501) 475-1478

NPI assigned

Apr 29, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KNM Therapy LLC

  dba Therapy Monkey @ SCCH

  • Occupational Therapist
  • Morrilton, AR
  • NPI 1699412007

  Occupational Therapy Assistant

  NPD
• Kennemetrics LLC

  dba Therapy Monkey

  • Occupational Therapist
  • Conway, AR
  • NPI 1124781729

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1013705185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E HARDING ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102047",
            "telephone_number": "501-697-9881",
            "fax_number": "501-475-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HARDING ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102047",
            "telephone_number": "501-697-9881",
            "fax_number": "501-475-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Highway 65 N",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720323506",
            "country_code": "US",
            "telephone_number": "501-697-9881",
            "fax_number": "501-475-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DEBORAH",
        "middle_name": "KATE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A2115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Roller, PHARMD
• Melody Kaye Russell, PHARM.D.
• Laurel Sax Jr., CASE MANAGER
• Brent A Scroggins, M.D.
• James Seal
• Carrie Sue Shepherd, AT
• Stuart Sherwood, DDS
• Heather Elizabeth Simpson, MHPP
• Alexis Michelle Smith
• Danica Leanna Smith, MHPP

• Occupational Therapy Assistant in Morrilton, AR
• Providers in Morrilton, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.