Jamie Shumock, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT004142 Issued in GA

Practice address

1309 Calderwood CT SE
Smyrna, GA 30080-3950

Phone

(508) 527-7949

NPI assigned

Apr 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1235454075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 CALDERWOOD CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803950",
            "telephone_number": "508-527-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 CALDERWOOD CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803950",
            "telephone_number": "508-527-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMOCK",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT004142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Shim, DMD
• Jiyo Shin, M.D.
• Denise Shipman, MD
• Rico Short, D.M.D.
• Munjal Shroff, DO
• Jabulani Sidile, M.D.
• Robin Siller
• Aixa I Silvera-Schwartz, M.D.
• Charles Edward Simmons, DMD
• Michael D Simpson, M.D.

• Pediatric Occupational Therapist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.