Individual provider Active NPI

Sylvia Shemelewski

  • Occupational Therapist
  • Pittston, PA
National Provider Identifier
1194069955
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC001638L Issued in PA
Practice address
209 Roberts Rd
Pittston, PA 18640-3111
Phone
(570) 655-2891
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC001638L PA Primary

Addresses

Primary practice location

209 Roberts Rd
Pittston, PA 18640-3111

Mailing address

209 Roberts Rd
Pittston, PA 18640-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603003057 PA Practitioner - Occupational Therapist in Private Practice 0345759163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC001638LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Umh PA Corp. CurrentSince May 28, 2025 Accepting new patients

Locations

209 Roberts Rd
Pittston, PA 18640
Phone (570) 655-2891

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1194069955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ROBERTS RD",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ROBERTS RD",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403111",
            "telephone_number": "570-655-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMELEWSKI",
        "first_name": "SYLVIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC001638L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.

Verify at the official NPI Registry.