Active NPI
Shelby McLenithan
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1053909507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21449
- Practice address
- 301 Camino Gardens Blvd
Boca Raton, FL 33432-5823 - Phone
- (561) 494-4499
- NPI assigned
- Jan 8, 2021
- 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 | 21449 | FL | Primary |
Addresses
Primary practice location
301 Camino Gardens Blvd
Boca Raton, FL 33432-5823
Mailing address
4625 Portofino Way Apt 106
West Palm Beach, FL 33409-8148
Other practice location 1
4625 Portofino Way Apt 106
West Palm Beach, FL 33409-8148
Phone (802) 688-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446453 | Other | REGISTERED OCCUPATIONAL THERAPIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://app.practiceperfectemr.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94 Harvest LN
Suite 202
Williston, VT 05495-8997
Phone (802) 662-2074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21449 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Hand Therapy PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
94 Harvest Ln
Ste 202
Williston, VT 05495
Phone (802) 662-2074
Organizations & group practices 1
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.
-
- Hand Occupational Therapist
- Williston, VT
- NPI 1720768187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1053909507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 PORTOFINO WAY APT 106",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334098148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CAMINO GARDENS BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325823",
"telephone_number": "561-494-4499"
}
],
"practiceLocations": [
{
"address_1": "4625 Portofino Way Apt 106",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334098148",
"country_code": "US",
"telephone_number": "802-688-5655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLENITHAN",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED OCCUPATIONAL THERAPIST",
"identifier": "446453",
"state": null
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://app.practiceperfectemr.com",
"affiliation": "N",
"address_1": "301 Camino Gardens Blvd",
"city": "Boca Raton",
"state": "FL",
"country_code": "US",
"postal_code": "334325823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.