Active NPI
Shelby Woodworth
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- Houston, TX
National Provider Identifier
1326779018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- Practice address
- Healthcare 9220 Kirby Drive
Suite 1000
Houston, TX 77054 - Phone
- (713) 383-9700
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | TX | Primary |
Addresses
Primary practice location
Healthcare 9220 Kirby Drive
Suite 1000
Houston, TX 77054
Mailing address
South Houston Clinic Aveanna
Suite 100
Houston, TX 77054
Phone (713) 383-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1326779018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SOUTH HOUSTON CLINIC AVEANNA",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-383-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HEALTHCARE 9220 KIRBY DRIVE",
"address_2": "SUITE 1000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-383-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWORTH",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.