Individual provider Active NPI

Shelley Isenberg Hickman, OTRL

  • Occupational Therapist
  • Tellico Plains, TN
National Provider Identifier
1184782906
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7586 Issued in TN
Practice address
735 Beatys Chapel Rd
Tellico Plains, TN 37385-6513
Phone
(850) 258-6366
NPI assigned
Dec 5, 2006
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2238 FL
Occupational Therapist 225X00000X 100736 TX
Occupational Therapist 225X00000X 7586 TN Primary

Addresses

Primary practice location

735 Beatys Chapel Rd
Tellico Plains, TN 37385-6513

Mailing address

735 Beatys Chapel Rd
Tellico Plains, TN 37385-6513
Phone (850) 258-6366

Other names 1

  • Mrs. Shelley Isenberg Professional name

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

LicenseStateTypeSpecialty
OT2238FLMDOccupational Therapist
7586TNMDOccupational Therapist
100736TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Isenberg Pediatric Occupational Therapy, Inc. Past Accepting new patients
Isenberg Pediatric Occup Therapy Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1184782906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BEATYS CHAPEL RD",
            "city": "TELLICO PLAINS",
            "state": "TN",
            "postal_code": "373856513",
            "telephone_number": "850-258-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 BEATYS CHAPEL RD",
            "city": "TELLICO PLAINS",
            "state": "TN",
            "postal_code": "373856513",
            "telephone_number": "850-258-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "SHELLEY",
        "middle_name": "ISENBERG",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT2238",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100736",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "ISENBERG",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tellico Plains, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.