Individual provider Active NPI

Shelby McLenithan

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1053909507
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21449 Issued in FL
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

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
446453OtherREGISTERED OCCUPATIONAL THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://app.practiceperfectemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828002347 VT Practitioner - Occupational Therapist in Private Practice 4587165949 Reassigns benefits to 1 organization

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
Reach Hand Therapy PLLCGroup PAC ID 5294198636, 4 clinicians

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

LicenseStateTypeSpecialty
21449FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Hand Therapy PLLC Occupational Therapist CurrentSince Aug 1, 2025 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.

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.

Verify at the official NPI Registry.