Lynn Michelle Shafer, MS, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC008067 Issued in PA

Practice address

55 Miller Street
Summerdale, PA 17093

Phone

(717) 732-8400

Fax

(717) 732-8414

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114129285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 TIMBER CHASE DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509150",
            "telephone_number": "717-728-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MILLER STREET",
            "city": "SUMMERDALE",
            "state": "PA",
            "postal_code": "17093",
            "telephone_number": "717-732-8400",
            "fax_number": "717-732-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "LYNN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC008067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Area Intermediate Unit
• Jill Henig
• Lori Jane Holtzinger, OTR/L
• Joanne Kliss, OTR/L
• Kristi Nace Kuren, OTRL
• Carol Wilder Weezorak, PT

• Pediatric Occupational Therapist in Summerdale, PA
• Providers in Summerdale, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.