Shelby Basham
Individual provider Active NPI Occupational Therapist · Owensboro, KY
NPI 1104495282 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1104495282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 272901 (KY)
- Practice address
- 2200 East Parrish Ave
Building C Suite 202
Owensboro, KY 42303 - Phone
- (270) 681-0274
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272901 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 272901 | KY | Yes |
Addresses
Primary practice location
2200 East Parrish Ave
Building C Suite 202
Owensboro, KY 42303
Mailing address
2200 E Parrish Ave Ste 202
Owensboro, KY 42303-1449
Other providers in Owensboro, KY
- Gregory Brandt Barrios
- Heather Bartlett
- Kailee Mae Bartley
- Erin Leigh Basham
- Samantha Basham
- Charles E Bea
- Katherine Bean
- Jill Beaver
- Jessica Beckman
- Lauren Beguin
All providers in Owensboro, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.