Active NPI
Sawyer Rae Shamburger, OTA
- Occupational Therapy Assistant
- Pilot Point, TX
National Provider Identifier
1063991974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 211887
- Practice address
- 208 North Praire St
Pilot Point, TX 73401 - Phone
- (940) 324-6620
- Fax
- (940) 324-6624
- NPI assigned
- Aug 10, 2018
- Last updated
- Aug 10, 2018
- 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 Therapy Assistant | 224Z00000X | 211887 | TX | Primary |
Addresses
Primary practice location
208 North Praire St
Pilot Point, TX 73401
Mailing address
3232 Old Highway 70
Ardmore, OK 73401
Phone (903) 388-6563
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 |
|---|---|---|---|
| 211887 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1063991974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 OLD HIGHWAY 70",
"city": "ARDMORE",
"state": "OK",
"postal_code": "73401",
"telephone_number": "903-388-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 NORTH PRAIRE ST",
"city": "PILOT POINT",
"state": "TX",
"postal_code": "73401",
"telephone_number": "940-324-6620",
"fax_number": "940-324-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMBURGER",
"first_name": "SAWYER",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "211887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pilot Point, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.