Active NPI
Shauna Jenee Ratcliff, MS, OTR/L
- Pediatric Occupational Therapist
- Edwards, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 16533
- Practice address
- 320 Beard Creek Rd
Edwards, CO 81632-6433 - Phone
- (970) 569-7777
- Fax
- (970) 470-6698
- NPI assigned
- Mar 4, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3909 | CO | |
| Pediatric Occupational Therapist | 225XP0200X | 5730 | AZ | |
| Pediatric Occupational Therapist | 225XP0200X | 322910 | OR | |
| Pediatric Occupational Therapist | 225XP0200X | 16533 | FL | Primary |
Addresses
Primary practice location
320 Beard Creek Rd
Edwards, CO 81632-6433
Mailing address
PO Box 2474
Avon, CO 81620-2474
Phone (303) 918-1156
Other practice location 1
2153 Coral Way
Suite 602
Coral Gables, FL 33145-2631
Phone (303) 918-1156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.38 of 100
- Quality
- 55.42
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 65.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3909 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 5730 | AZ | MD | Pediatric Occupational Therapist |
| 16533 | FL | MD | Pediatric Occupational Therapist |
| 322910 | OR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Clinic, Inc. | Current | Accepting new patients | |
| Vail Clinic, Inc. | Current | Accepting new patients |
Locations
1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800
320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272
181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Vail, CO
- NPI 1992812333
-
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1033534755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2474",
"city": "AVON",
"state": "CO",
"postal_code": "816202474",
"telephone_number": "303-918-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BEARD CREEK RD",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816326433",
"telephone_number": "970-569-7777",
"fax_number": "970-470-6698"
}
],
"practiceLocations": [
{
"address_1": "2153 Coral Way",
"address_2": "Suite 602",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331452631",
"country_code": "US",
"telephone_number": "303-918-1156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATCLIFF",
"first_name": "SHAUNA",
"middle_name": "JENEE",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "3909",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "5730",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "322910",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "16533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.