Gerri Lynn Shaw, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131000682 Issued in VA

Practice address

11315 Corporate Blvd Ste 100
Orlando, FL 32817-8340

Phone

(877) 896-3660

Fax

(877) 217-9271

NPI assigned

Mar 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1225337116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 GILDENFIELD CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232945625",
            "telephone_number": "717-440-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 CORPORATE BLVD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178340",
            "telephone_number": "877-896-3660",
            "fax_number": "877-217-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "GERRI",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000682",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP002853L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Sydney Shaw, DO
• Carlo Lavern Shaw
• David Gary Shaw, D.C.
• Donald Aaron Shaw, DC
• Erica J Shaw, CRNA
• Inequia Shaw, LCSW SW24776
• Matthew Steven Shaw
• Michelle Carly Shaw
• Shavone Shamil Shaw
• Wendy Lee Shaw, CNM

• Occupational Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.