Active NPI
Holly Lynne Shurtleff, OT
- Occupational Therapist
- Aiken, SC
National Provider Identifier
1235211814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 471
- Practice address
- 690 Medical Park Dr
Aiken, SC 29801-6348 - Phone
- (803) 293-4326
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 471 | SC | Primary |
Addresses
Primary practice location
690 Medical Park Dr
Aiken, SC 29801-6348
Mailing address
146 Beauregard LN
Aiken, SC 29803-7904
Phone (803) 642-8971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH0896 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 471 | SC | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hitchcock Healthcare, Incorporated | Occupational Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Aiken, SC
- NPI 1295797314
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1235211814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 BEAUREGARD LN",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037904",
"telephone_number": "803-642-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 MEDICAL PARK DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016348",
"telephone_number": "803-293-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHURTLEFF",
"first_name": "HOLLY",
"middle_name": "LYNNE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH0896",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.