Active NPI
Amy Michelle Shumylo, OTR/L, BCP
- Occupational Therapist
- Surprise, AZ
National Provider Identifier
1184830978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 15116 N Cotton LN
Surprise, AZ 85388-9618 - Phone
- (623) 322-8250
- NPI assigned
- May 16, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
15116 N Cotton LN
Surprise, AZ 85388-9618
Mailing address
15116 N Cotton LN
Surprise, AZ 85388-9618
Phone (623) 322-8250
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.E.a.M. 4 Kids, LLC | Pediatrics | Current | Accepting new patients |
Locations
15116 N Cotton Ln
Surprise, AZ 85388
Phone (623) 322-8250
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1184830978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15116 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889618",
"telephone_number": "623-322-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15116 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889618",
"telephone_number": "623-322-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMYLO",
"first_name": "AMY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "OTR/L, BCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.