Active NPI
Sharan B Shaw, O.T.
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1053445106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101488
- Practice address
- 525 Oak Centre Dr
Suite 200
San Antonio, TX 78258-3944 - Phone
- (210) 297-4525
- Fax
- (210) 297-0459
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 101488 | TX | Primary |
Addresses
Primary practice location
525 Oak Centre Dr
Suite 200
San Antonio, TX 78258-3944
Mailing address
402 Misty Water LN
San Antonio, TX 78260-2219
Phone (830) 980-2731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101488 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053445106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 MISTY WATER LN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782602219",
"telephone_number": "830-980-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 OAK CENTRE DR",
"address_2": "SUITE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583944",
"telephone_number": "210-297-4525",
"fax_number": "210-297-0459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "SHARAN",
"middle_name": "B",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "101488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.