Shelly Kay Clarkson, OTR, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

304725 Issued in TX

Practice address

1216 Hillcrest Dr
Sherman, TX 75092

Phone

(903) 893-7457

Fax

(903) 893-6671

NPI assigned

Jan 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• The Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Sherman, TX
  • NPI 1851781421
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1285870899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 HILLCREST DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925507",
            "telephone_number": "903-893-7457",
            "fax_number": "903-893-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 HILLCREST DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-893-7457",
            "fax_number": "903-893-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Midwestern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763022211",
            "country_code": "US",
            "telephone_number": "940-322-0771",
            "fax_number": "940-766-4943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "SHELLY",
        "middle_name": "KAY",
        "credential": "OTR, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "304725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111408402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard Lionel Clark, CRNA
• Patricia Clark, OTR
• Waren G Clark Jr.
• Eric Clarke, R. PH.
• Jermaine Garnette Clarke, DO
• Cleburne Family Medicine Associates, PLLC
• Ward Richard Clements IV, PHARMD
• Amanda Clifton, M.S., SLP-CCC
• Lauren Clinch
• Caleb B Cline, PA-C

• Occupational Therapist in Sherman, TX
• Providers in Sherman, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.