Active NPI
Danielle Frances Shedlock, OTR/L
- Occupational Therapist
- Edgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01097000
- Practice address
- 725 River Rd Ste 107B
Edgewater, NJ 07020-1149 - Phone
- (201) 770-7845
- NPI assigned
- Dec 12, 2022
- Last updated
- Sep 5, 2023
- 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 | 46TR01097000 | NJ | Primary |
Addresses
Primary practice location
725 River Rd Ste 107B
Edgewater, NJ 07020-1149
Mailing address
402 Farnham Ave
Lodi, NJ 07644-1205
Phone (201) 693-8499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Marquis CT
Edgewater, NJ 07020-2900
Phone (917) 826-7230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01097000 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosynergy Physical Therapy LLC | Current | Accepting new patients | |
| Mobile Physiocare | Current | Accepting new patients |
Locations
1033 Clifton Ave
Ste 207
Clifton, NJ 07013
Phone (201) 906-2960
45 South Ave W
#101
Cranford, NJ 07016
Phone (908) 583-4391
45 South Ave W
Ste 101
Cranford, NJ 07016
Phone (908) 709-7300
725 River Rd
Ste 107B
Edgewater, NJ 07020
Phone (201) 770-7845
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Edgewater, NJ
- NPI 1023758810
-
- Physical Therapist
- Cranford, NJ
- NPI 1235515529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1093426959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 FARNHAM AVE",
"city": "LODI",
"state": "NJ",
"postal_code": "076441205",
"telephone_number": "201-693-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 107B",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201149",
"telephone_number": "201-770-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEDLOCK",
"first_name": "DANIELLE",
"middle_name": "FRANCES",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01097000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.