Individual provider Active NPI

Taylor Sheldrick, OTR/L

  • Occupational Therapist
  • Henderson, NV
National Provider Identifier
1396259800
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-3573 Issued in NV
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

Updated by the provider on Dec 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT-3573NVMDOccupational Therapist
61205614WAMDOccupational Therapist
18023CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion, Inc. Occupational Therapist PastSince Dec 1, 2021 Accepting new patients
Orange County Speech Services Occupational Therapist Past Accepting new patients
Children's Therapy of Woodinville Occupational Therapist PastSince Dec 1, 2021 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.

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.

Verify at the official NPI Registry.