Shanelle Natalie Balfour, P. T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3598 Issued in SC

Practice address

1620 Broughton St
Orangeburg, SC 29115-4867

Phone

(803) 534-4050

Fax

(803) 534-0408

NPI assigned

Sep 1, 2010

Last updated

Sep 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1033426812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 LOWER CHEROKEE RD",
            "city": "NEESES",
            "state": "SC",
            "postal_code": "291079546",
            "telephone_number": "904-392-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154867",
            "telephone_number": "803-534-4050",
            "fax_number": "803-534-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALFOUR",
        "first_name": "SHANELLE",
        "middle_name": "NATALIE",
        "credential": "P. T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6055",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B L Graham LLC
• Julius W Babb III, MD
• Mattie L Bailey, MA, REHAB COUNSELING
• Janice G Bair, RPH
• Kimberly Roxanne Baldwin, PHARMD
• Debra Lynn Ballares, FNP
• William Leroy Baly, M.D.
• Tomeka Banks
• Lauren Barbosa, RDN
• Emily Light Barnett, CRNA

• Occupational Therapist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.