Colleen Shovlin, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9884 Issued in MA

Practice address

110 Haverhill Rd
Suite 402
Amesbury, MA 01913-2123

Phone

(978) 388-4500

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Colleen Moore Former name

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Axis Pelvic Floor Therapy and Wellness, LLC

  • Occupational Therapist
  • Pelham, NH
  • NPI 1083364434

  MA

  Medicare reassignment NPD Authorized official
• Excella Associates LLC

  • Home Health Agency
  • Amesbury, MA
  • NPI 1467714030
  NPD (past)
• Excella Homecare, Inc.

  • Home Health Agency
  • Wilmington, MA
  • NPI 1649351354
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1265837579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD",
            "address_2": "SUITE 402",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD",
            "address_2": "SUITE 402",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132123",
            "telephone_number": "978-388-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOVLIN",
        "first_name": "COLLEEN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darlene M. Shanley
• Theresa M. Sharby
• Marc Aaron Shay, MD
• Rich Shea
• Victoria Sherwood, MSW
• Sicilian Comfort Care at Home and Staffing LLC
• Robin L Simmons
• Diana M Sinagra
• Alison Sleeper Ames, OTRL
• Susan Amy Small, LCSW

• Occupational Therapist in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.