Shaylee Jeffries

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2015025337 Issued in MO

Practice address

200 Linden Ave
Monett, MO 65708-2465

Phone

(417) 235-3951

NPI assigned

Feb 14, 2019

Last updated

Jul 16, 2024By the provider in NPPES

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

Other identifiers 2

Other names 1

• Shaylee Pederson Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab Advantage Solutions, PLLC

  dba TMC Therapy at Home

  • Physical Therapist
  • Homosassa, FL
  • NPI 1164908307

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1316403496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 TEXAS AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041265",
            "telephone_number": "314-239-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINDEN AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082465",
            "telephone_number": "417-235-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "SHAYLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2015025337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATES DRIVER'S LICENSE",
            "identifier": "B142303010",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST STATE LICENSE",
            "identifier": "2015025337",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYLEE",
            "last_name": "PEDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Innovative Mobile Services LLC
• Integrity Home Care, LLC (Integrity Home Care and Hospice)
• Integrity Home Care, LLC (Integrity Home Care and Hospice)
• Deborah Jo Jarrett, D.O.
• Elaine A Jeffreys, CRNA
• Keria Johnson, OT R/L
• Lavon M Johnson, PA
• Dianne Journey, MS, CCC-SLP
• Kathleen Siegenthaler
• Christina Keeton, LMSW

• Occupational Therapist in Monett, MO
• Providers in Monett, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.