Individual provider Active NPI

Richard Shegogue, O.T.R./L, CHT

  • Occupational Therapist
  • Frederick, MD
National Provider Identifier
1407035389
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
03806 Issued in MD
Practice address
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone
(301) 694-8311
Fax
(301) 694-3537
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 03806 MD
Occupational Therapist 225X00000X 03806 MD Primary

Addresses

Primary practice location

86 Thomas Johnson CT
Frederick, MD 21702-4348

Mailing address

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

Other practice location 1

165 Thomas Johnson Dr Ste E
Frederick, MD 21702-4742
Phone (301) 694-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130412000534 MD Practitioner - Occupational Therapist in Private Practice 4385832039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Nisenfeld & Chilton, M.D., P.a. CurrentSince Feb 5, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients

Locations

161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

165 Thomas Johnson Dr
Ste E
Frederick, MD 21702

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1407035389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Thomas Johnson Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024742",
            "country_code": "US",
            "telephone_number": "301-694-8311",
            "fax_number": "301-695-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEGOGUE",
        "first_name": "RICHARD",
        "credential": "O.T.R./L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MD",
            "license": "03806",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "03806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.