Gregory Michael Shahum, PHD, MHA, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8304 Issued in NC

Practice address

100 Gossman Rd
Southern Pines, NC 28387-2281

Phone

(910) 246-1000

NPI assigned

Jun 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1306108873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 DAVID STONE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177415",
            "telephone_number": "570-677-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GOSSMAN RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872281",
            "telephone_number": "910-246-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHUM",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD, MHA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8304",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003443",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CT",
            "license": "001929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Scruggs Boyd, RDH
• Brianna Nicole Seawell, LCSW
• Jane Sessler, DDS
• Paul Jeffrey Sevigny Jr., PT
• Scott Duane Sexton, M.D.
• Lina E Shammas, NBC-HWC
• Amanda Sharpe
• Robert Allan Sharpe, MD
• Kathleen Anne Shattenkirk
• Linda Sue Sheer, RN

• Occupational Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.