Kelsey Shiben, OTR
Individual provider Active NPI Occupational Therapist · Stanardsville, VA
NPI 1295215481 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1295215481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119007035 (VA)
- Practice address
- 355 William Mills Dr
Stanardsville, VA 22973-3055 - Phone
- (434) 985-4434
- NPI assigned
- Aug 16, 2018
- 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 |
|---|---|---|---|
| 0119007035 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007035 | VA | Yes |
Addresses
Primary practice location
355 William Mills Dr
Stanardsville, VA 22973-3055
Mailing address
355 William Mills Dr
Stanardsville, VA 22973-3055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119007035 | Other | VA | OTR LICENSE |
Other providers in Stanardsville, VA
- On-Sight Optical, LLC
- Page Watson Pleasants
- Corie Preston Reynolds
- Derik Rice
- Suellen Rose
- Simply Care, LLC
- Stanardsville VA Opco LLC
- Standardsville Healthcare LLC
- Alison Marie Stoffel
- Susan Traber
All providers in Stanardsville, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. 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.