Landry D Shelton, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

218519 Issued in TX

Practice address

3131 Troup Hwy
Tyler, TX 75701-8350

Phone

(903) 534-0449

NPI assigned

Dec 6, 2024

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

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1275349979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 HOGAN DR APT 702",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757096934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018350",
            "telephone_number": "903-534-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 W Grande Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757030526",
            "country_code": "US",
            "telephone_number": "903-534-0449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3219 E Grande Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757071407",
            "country_code": "US",
            "telephone_number": "903-283-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "LANDRY",
        "middle_name": "D",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "218519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia S Sheikh, MD
• Mary C Shellnutt, APRN, AGCNS-BC
• Amanda S Shelton, WHNP
• Ashley Shelton, COTA/L
• Catherine Shelton, PA
• Cynthia J Shepherd, PA-C
• Shepherd'S Flock Health Services, LLC
• Amanda Sheppard
• Emelia Sheppard
• Anna Ali Sheraz

• Occupational Therapy Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.