Nicole Marie Shy, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2001033007 Issued in MO

Practice address

25023 Bothwell Park Rd
Sedalia, MO 65301-0084

Phone

(660) 827-3993

NPI assigned

Aug 30, 2011

Last updated

Aug 30, 2011By the provider in NPPES

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)

Enrolled

Practice roles

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.

• Reliant Care Rehabilitative Services L L C

  • Physical Therapy Clinic/Center
  • Columbia, MO
  • NPI 1902188287
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1255612677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 LIBERTY PARK BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25023 BOTHWELL PARK RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653010084",
            "telephone_number": "660-827-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001033007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Serc Rehabilitation Partners LLC (SERC - Sedalia, MO)
• Jennifer Sevier, BC PNP
• Assad U. Shaffiey, M.D.
• Jeffrey A Sharp, MD
• Kelsey Siegel, RDH
• Anthony S Sikoutris, DPM
• Jillian Colleen Simmons, DNP, APRN, CNM
• Rodger Lee Simmons, D.D.S.
• Brandy L Skaggs, SLP

• Occupational Therapist in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.