Shaunda Lynn Ball, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2916 Issued in TN

Practice address

16222 Moccasin Cir
Abingdon, VA 24210-4346

Phone

(330) 771-7138

NPI assigned

Jun 28, 2021

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

Other names 1

• Shaunda Lynn Stanley Former name

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1184294753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 MOCCASIN CIR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104346",
            "telephone_number": "330-771-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 MOCCASIN CIR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104346",
            "telephone_number": "330-771-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "SHAUNDA",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "2916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNDA",
            "last_name": "STANLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rishika Bajaj, MD
• Kenneth John Baker, MD
• William John Baker, MD
• Kathleen P Baldwin, LCSW
• Franklin R Ball, LPN
• Steven M Bandy, MD
• Andrew Thomas Barbeau, PT
• Angela Eugenia Barker, PSYD
• Kelly Barker, CCC-SLP
• Vivian Barker, PA-S

• Occupational Therapy Assistant in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.