Active NPI
Shanese Lynette Shanklin, MOT, OTR/L
- Occupational Therapist
- Dayton, OH
National Provider Identifier
1407037013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-6233
- Practice address
- 5790 Denlinger Rd
Dayton, OH 45426-1838 - Phone
- (937) 837-5581
- NPI assigned
- Nov 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-6233 | OH | Primary |
Addresses
Primary practice location
5790 Denlinger Rd
Dayton, OH 45426-1838
Mailing address
2219 Mayfair Rd
Dayton, OH 45405-3220
Phone (937) 275-0422
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-6233 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1407037013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 MAYFAIR RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454053220",
"telephone_number": "937-275-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5790 DENLINGER RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454261838",
"telephone_number": "937-837-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKLIN",
"first_name": "SHANESE",
"middle_name": "LYNETTE",
"name_prefix": "Ms.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-6233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.