Individual provider Active NPI

Ashley Louise Shockley, MOT, OTR/L

  • Occupational Therapist
  • Dunlap, TN
National Provider Identifier
1285474999
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7825 Issued in TN
Practice address
17919 Rankin Ave
Dunlap, TN 37327-7144
Phone
(423) 949-7899
NPI assigned
May 30, 2024
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 7825 TN Primary

Addresses

Primary practice location

17919 Rankin Ave
Dunlap, TN 37327-7144

Mailing address

17919 Rankin Ave
Dunlap, TN 37327-7144
Phone (423) 949-7899

Other practice location 1

721 Bryan Dr
Dayton, TN 37321-6275
Phone (423) 775-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sequatchie Valley Physical Therapy, LLC PastSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1285474999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17919 RANKIN AVE",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277144",
            "telephone_number": "423-949-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17919 RANKIN AVE",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277144",
            "telephone_number": "423-949-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Bryan Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373216275",
            "country_code": "US",
            "telephone_number": "423-775-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "ASHLEY",
        "middle_name": "LOUISE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.