Shelley Taliaferro, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A4501 Issued in KY

Practice address

9 Waveland Ave
Winchester, KY 40391-1231

Phone

(855) 584-5845

Fax

(800) 584-1465

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1306197660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAVELAND AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911231",
            "telephone_number": "855-584-5845",
            "fax_number": "800-584-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WAVELAND AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911231",
            "telephone_number": "855-584-5845",
            "fax_number": "800-584-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "SHELLEY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "A4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Physical Therapy, PLLC
• Calin Teodor Suteu, PT, DPT
• Amy Elizabeth Sutfin, OT
• Abigail Sutherland
• Latonia Rice Sweet
• Edward J. Tanous Jr., MD
• Brenda Gail Taulbee, PSS
• Adam W Taylor, DO
• Lisa Jeanell Taylor, LPCC
• Micah Taylor

• Occupational Therapy Assistant in Winchester, KY
• Providers in Winchester, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.