Individual provider Active NPI

Shelley Hurwitz

  • Occupational Therapist
  • Midlothian, VA
National Provider Identifier
1104393735
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004620 Issued in VA
Practice address
13800 Bon Secours Drive
Midlothian, VA 23114
Phone
(804) 378-5100
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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 0119004620 VA Primary

Addresses

Primary practice location

13800 Bon Secours Drive
Midlothian, VA 23114

Mailing address

2620 Stableside CT Apt 304-12
Midlothian, VA 23113-4817
Phone (804) 240-0903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241220001401 DC Practitioner - Occupational Therapist in Private Practice 9830626456 Reassigns benefits to 2 organizations
I20250219001031 VA Practitioner - Occupational Therapist in Private Practice 9830626456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

10601 Barbara LN
Richmond, VA 23233-2067
Phone (888) 531-2204

1600 Westwood Ave
Richmond, VA 23227-4622
Phone (888) 531-2204

2222 Colts Neck Rd
Reston, VA 20191-2843
Phone (314) 673-6747

3317 Ocean Shore Ave
Virginia Beach, VA 23451-1683
Phone (888) 531-2204

5501 Discovery Park Blvd
Williamsburg, VA 23188-2952
Phone (757) 505-8750

9991 Ridgefield Pkwy
Henrico, VA 23233-3600
Phone (888) 531-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Pathways Preferred of Tennessee LLC Occupational Therapist CurrentSince May 24, 2025 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 23, 2024 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 23, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Dec 15, 2024 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617

3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179

Organizations & group practices 4

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1104393735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STABLESIDE CT APT 304-12",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134817",
            "telephone_number": "804-240-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 BON SECOURS DRIVE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23114",
            "telephone_number": "804-378-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURWITZ",
        "first_name": "SHELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.