Austin Shaffer, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC019187 Issued in PA

Practice address

2101 Nagle Rd
Erie, PA 16510-2189

Phone

(814) 877-7078

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1023793056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 DOMINIC DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165066042",
            "telephone_number": "814-881-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NAGLE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102189",
            "telephone_number": "814-877-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Sexton, M.S.
• Sexual Wellness PA, LLC (Bloom & Bridge Wellness)
• Amy Lynne Seyler, MS
• William C Seyler Jr., PT
• Kyle Taylor Shafer, PHARMACIST
• Cassandra Lynn Shaffer
• Danette Shaffer
• Erin E Shaffer, DO
• Jazmyne Shiann Shaffer, PA-C
• Judith Shaffer, MS, LCSW

• Occupational Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.