Laura L Shillito, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000779 Issued in MO

Practice address

777 S New Ballas Rd Ste 218E
Saint Louis, MO 63141

Phone

(314) 991-2562

NPI assigned

Mar 27, 2007

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 names 1

• Laura L Sommer Former name

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.

• South St. Louis Rehabilitation Institute, Inc.

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1568484681

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1306964333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WAY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223942",
            "telephone_number": "314-394-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD STE 218E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-991-2562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6726 Manchester Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631393525",
            "country_code": "US",
            "telephone_number": "615-778-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILLITO",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "000779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SOMMER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Ann Shields, MA,CCC-SLP
• Adrian Shifren, MD
• Pamela Beth Shifter, PH.D L.C.S.W
• Fei F Shih, MD PHD
• Allison Shildt, MD
• Kumiko Shimoda, MD
• Joshua S Shimony, MD
• Dorian G Shimotani, DO
• Nicole Jimin Shin, MD
• Stephanie Shin, DO

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.