Individual provider Active NPI

Shelby Zornes

  • Occupational Therapist
  • Normal, IL
National Provider Identifier
1275981607
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056013813 Issued in IL
Practice address
1719 Coralstone Way
Normal, IL 61761-9679
Phone
(812) 621-1862
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056013813 IL Primary

Addresses

Primary practice location

1719 Coralstone Way
Normal, IL 61761-9679

Mailing address

1719 Coralstone Way
Normal, IL 61761-9679
Phone (812) 621-1862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002001104 IL Practitioner - Occupational Therapist in Private Practice 9032548755 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056013813ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Aug 21, 2020 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Aug 21, 2020 Accepting new patients
Savoy Therapy Services Inc Occupational Therapist CurrentSince Jun 21, 2024 Accepting new patients
Toddlers Choice Inc. Past Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1275981607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 CORALSTONE WAY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617619679",
            "telephone_number": "812-621-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 CORALSTONE WAY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617619679",
            "telephone_number": "812-621-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORNES",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.