Shauna Marie Libka, COTA/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

4979 Issued in SC

Practice address

7 Rocky Meadow CT
Greenville, SC 29615-3663

Phone

(864) 275-1679

NPI assigned

May 3, 2023

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)

Not enrolled

State licenses

Practice roles

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.

• Little Angels Therapy

  • Pediatric Occupational Therapist
  • Greenville, SC
  • NPI 1053542597

  Pediatrics

  NPD

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1285323428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 OLD SPARTANBURG RD APT H",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874252",
            "telephone_number": "989-916-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROCKY MEADOW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153663",
            "telephone_number": "864-275-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBKA",
        "first_name": "SHAUNA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Hellen Baird Lezan, FNP-C
• David Sui NG Li, MD
• Susan Shiyuan Li, M.D.
• Wesley Liao, M.D.
• Elizabeth Donnan Libby, MSP, CCC-SLP
• Courtnie Cannon Lichtenfelt, PTA
• Carrie Leigh Lichtenstein
• Katie Koby Lichty, FNP
• Andrea Selena Liddell
• Madeline Liebel

• Pediatric Occupational Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.