Active NPI
Shelly McLaughlin, OT
- Occupational Therapist
- Madison, WI
National Provider Identifier
1033233119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3481-026
- Practice address
- 1806 W Beltline Hwy
Dean Therapy Center
Madison, WI 53713 - Phone
- (608) 250-1485
- Fax
- (608) 250-1456
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3481-026 | WI | Primary |
Addresses
Primary practice location
1806 W Beltline Hwy
Dean Therapy Center
Madison, WI 53713
Mailing address
1806 W Beltline Hwy
Dean Therapy Center
Madison, WI 53713
Phone (608) 250-1485
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smclaughlin262330@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3481-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients |
Locations
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
dba Prairie Ridge Health Clinic-Sun Prairie
- Family Medicine Physician
- Sun Prairie, WI
- NPI 1699534545
-
- Orthopaedic Surgery Physician
- Beaver Dam, WI
- NPI 1093137416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615680000000",
"number": "1033233119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 W BELTLINE HWY",
"address_2": "DEAN THERAPY CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "53713",
"telephone_number": "608-250-1485",
"fax_number": "608-250-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W BELTLINE HWY",
"address_2": "DEAN THERAPY CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "53713",
"telephone_number": "608-250-1485",
"fax_number": "608-250-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "SHELLY",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2021-03-14",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3481-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smclaughlin262330@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "smclaughlin262330@direct-ehr-ssmhc.com",
"address_1": "1806 W Beltline Hwy",
"address_2": "Dean Therapy Center",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "53713",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1806 W Beltline Hwy",
"address_2": "Dean Therapy Center",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "53713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.