Active NPI
Courtney Phillips-Shoda, OTR/L
- Occupational Therapist
- Reno, NV
National Provider Identifier
1174841662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0718
- Practice address
- 3700 Grant Dr
Suite a
Reno, NV 89509-5474 - Phone
- (775) 829-4700
- Fax
- (775) 829-4710
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 0718 | NV | Primary |
Addresses
Primary practice location
3700 Grant Dr
Suite a
Reno, NV 89509-5474
Mailing address
3700 Grant Dr
Suite a
Reno, NV 89509-5474
Phone (775) 829-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0718 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1174841662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 GRANT DR",
"address_2": "SUITE A",
"city": "RENO",
"state": "NV",
"postal_code": "895095474",
"telephone_number": "775-829-4700",
"fax_number": "775-829-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 GRANT DR",
"address_2": "SUITE A",
"city": "RENO",
"state": "NV",
"postal_code": "895095474",
"telephone_number": "775-829-4700",
"fax_number": "775-829-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS-SHODA",
"first_name": "COURTNEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "0718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
- Philip a Rich,MD Professional Corporation (Sierra Mountain Health)
- Philip Malinas MD & Associates PLLC
- April Phillippe, RN
- Phillips and Miller LTD (Geriatric Care Of Nevada)
- Sheila Ann Phillips-Horsley
- Adreanna Phillips
- Alexis Marie Phillips, APRN-CNP
- Ben Phillips
- Beverly Phillips
- Erin Michelle Phillips
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.