Individual provider Active NPI

Shauna Jenee Ratcliff, MS, OTR/L

  • Pediatric Occupational Therapist
  • Edwards, CO
National Provider Identifier
1033534755
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
16533 Issued in FL
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

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210224000483 CO Practitioner - Occupational Therapist in Private Practice 9830504943 Reassigns benefits to 1 organization

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
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
3909COMDAddiction (Substance Use Disorder) Counselor
5730AZMDPediatric Occupational Therapist
16533FLMDPediatric Occupational Therapist
322910ORMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Vail Clinic, Inc. CurrentSince Nov 1, 2020 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.

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.

Verify at the official NPI Registry.