Shelley Lois Camp, MS, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

00001793 Issued in WA

Practice address

1515 E 39TH Ave
Spokane, WA 99203-4129

Phone

(509) 951-2052

Fax

(590) 747-7006

NPI assigned

Mar 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shelley Lois Scofield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1285051060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E 39TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034129",
            "telephone_number": "509-951-2052",
            "fax_number": "590-747-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E 39TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034129",
            "telephone_number": "509-951-2052",
            "fax_number": "590-747-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "SHELLEY",
        "middle_name": "LOIS",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00001793",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "00001793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "SCOFIELD",
            "middle_name": "LOIS",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ana Elisa Pereira Caminada-Hopkins, LMFTA
• Daniel F Cammack, MD
• Kelly Victoria Cammermeyer
• Jakob O Camp, MD
• Kristine M Camp, RN
• Javier Francisco Campa, RN
• Adrianne M Campbell
• Amayah Jaelynn Campbell
• Annaleesa Fay Campbell, OTR/L
• Bobbi Campbell, LSWAIC

• Physical Rehabilitation Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Rehabilitation Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.