Active NPI
Taylor Sheldrick, OTR/L
- Occupational Therapist
- Henderson, NV
National Provider Identifier
1396259800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-3573
- Practice address
- 2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120 - Phone
- (702) 515-4009
- NPI assigned
- Nov 20, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18023 | CA | |
| Occupational Therapist | 225X00000X | 61205614 | WA | |
| Occupational Therapist | 225X00000X | OT-3573 | NV | Primary |
Addresses
Primary practice location
2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120
Mailing address
2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120
Phone (702) 515-4009
Other practice location 1
19021 120th Ave NE Ste 102
Bothell, WA 98011-9511
Phone (425) 486-7710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-3573 | NV | MD | Occupational Therapist |
| 61205614 | WA | MD | Occupational Therapist |
| 18023 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids in Motion, Inc. | Occupational Therapist | Past | Accepting new patients |
| Orange County Speech Services | Occupational Therapist | Past | Accepting new patients |
| Children's Therapy of Woodinville | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba CTW
- Pediatric Occupational Therapist
- Bothell, WA
- NPI 1558440198
-
- Occupational Therapist
- Woodinville, WA
- NPI 1427107259
-
- Speech-Language Pathologist
- Huntington Beach, CA
- NPI 1295000818
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734220800000",
"number": "1396259800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 PASEO VERDE PKWY STE 155",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747120",
"telephone_number": "702-515-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 PASEO VERDE PKWY STE 155",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747120",
"telephone_number": "702-515-4009"
}
],
"practiceLocations": [
{
"address_1": "19021 120th Ave NE Ste 102",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980119511",
"country_code": "US",
"telephone_number": "425-486-7710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELDRICK",
"first_name": "TAYLOR",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18023",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "61205614",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT-3573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.