Maria Therese Shambro, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2023011529 Issued in MO

Practice address

13550 S Outer 40 Rd
Town and Country, MO 63017-5812

Phone

(314) 878-1339

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1134823248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 PERRY ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012947",
            "telephone_number": "314-971-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S OUTER 40 RD",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175812",
            "telephone_number": "314-878-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBRO",
        "first_name": "MARIA",
        "middle_name": "THERESE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2023011529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Endodontics
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• Whitney Carson Schleiffarth
• Glenna Jean Schmitt, LPN
• Abby Marie Schmutz, OTR
• Krista Shockley, M. ED., LPC
• Tobias W Simers, LPC
• Kathy Simmons, M.ED., LPC, NCC
• Lisa Marie Sinden-Gottfried, PH.D.
• Jill Solomon, M.S.,CCC-SLP

• Occupational Therapy Assistant in Town and Country, MO
• Providers in Town and Country, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.