Active NPI
Shae McKay
- Occupational Therapist
- Wilmington, OH
National Provider Identifier
1083000574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008978
- Practice address
- 75 Hale St
Wilmington, OH 45177-2104 - Phone
- (937) 382-0667
- NPI assigned
- Apr 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008978 | OH | Primary |
| Occupational Therapist | 225X00000X | 163844 | KY |
Addresses
Primary practice location
75 Hale St
Wilmington, OH 45177-2104
Mailing address
839 Meadowcrest Cir
Maysville, KY 41056-7903
Phone (065) 843-0746
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 |
|---|---|---|---|
| 163844 | KY | MD | Occupational Therapist |
| 008978 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1083000574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 MEADOWCREST CIR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410567903",
"telephone_number": "065-843-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HALE ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772104",
"telephone_number": "937-382-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "SHAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "008978",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "163844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.