Hayley Ellen Shank, OTR, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

122844 Issued in TX

Practice address

6207 Sheridan Ave
Austin, TX 78723-1060

Phone

(737) 704-4234

Fax

(512) 334-4465

NPI assigned

Aug 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Functional Integrative Therapy, PLLC

  • Occupational Therapist
  • Buda, TX
  • NPI 1972452225
  NPD Authorized official
• Any Baby Can of Austin, Inc.

  • Developmental Disabilities Clinic/Center
  • Austin, TX
  • NPI 1487783379
  NPD
• Cole Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Fredericksburg, TX
  • NPI 1255342093
  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1306564547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 BARRISTER AVE",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786104060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 SHERIDAN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231060",
            "telephone_number": "737-704-4234",
            "fax_number": "512-334-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17301 S I-35 Frontage Rd",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Buda",
            "state": "TX",
            "postal_code": "78610",
            "country_code": "US",
            "telephone_number": "757-848-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANK",
        "first_name": "HAYLEY",
        "middle_name": "ELLEN",
        "credential": "OTR, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Matt, DDS PLLC
• James Howard Shane, M.D.
• Jonathan Ryan Shaner, D.C.
• Sarah Alexis Laurielle Shaney, LCSW
• Courtney Safron Shanitkvich, RD
• Shruti Shanker, D.O.
• Tonya Shankle
• Andrew Christopher Shanks, LCDC
• Laranci Shanmugarajah
• George Mark Shannan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.