Shawn Marie Gerken, OTR
Individual provider Active NPI Occupational Therapist · Monclova, OH
NPI 1285369223 · NPPES record last updated Jul 22, 2022
Key facts
- NPI
- 1285369223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 315389 (IL)
- Practice address
- 7844 N Woodbridge Rd
Monclova, OH 43542-6700 - Phone
- (567) 288-0239
- NPI assigned
- Jul 22, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315389 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 315389 | IL | Yes |
Addresses
Primary practice location
7844 N Woodbridge Rd
Monclova, OH 43542-6700
Mailing address
2012 N Orleans St Apt 5B
Chicago, IL 60614-4750
Phone (567) 288-0239
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315389 | Medicaid | IL |
Other providers in Monclova, OH
- David Donald Celestino
- Christie Christensen
- Chad Fairbanks
- Paige Martine Fearn
- Amanda Fry
- Lee C Grinonneau
- Daniel Harrison
- Brandi Elizabeth Hickman
- Kaylee Mae Hull
- Shannon Keefer
All providers in Monclova, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.