Active NPI
Patricia Ann Shea, OTR/L
- Occupational Therapist
- Reading, MA
National Provider Identifier
1154996841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 803
- Practice address
- 23 Augustus CT Unit 2008
Reading, MA 01867-4075 - Phone
- (781) 405-9060
- NPI assigned
- May 25, 2021
- Last updated
- May 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 803 | MA | Primary |
Addresses
Primary practice location
23 Augustus CT Unit 2008
Reading, MA 01867-4075
Mailing address
23 Augustus CT Unit 2008
Reading, MA 01867-4075
Phone (781) 405-9060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803 | Other | MA | MA OT LICENSE |
Other names 1
- Patricia Ann Shea
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visions of Independence, LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1154996841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 AUGUSTUS CT UNIT 2008",
"city": "READING",
"state": "MA",
"postal_code": "018674075",
"telephone_number": "781-405-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 AUGUSTUS CT UNIT 2008",
"city": "READING",
"state": "MA",
"postal_code": "018674075",
"telephone_number": "781-405-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA OT LICENSE",
"identifier": "803",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "SHEA",
"middle_name": "ANN",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.