NPIMap

Individual provider Active NPI

Shelby Wimbrough, MS, OTR/L

  • Occupational Therapist
  • Hunt Valley, MD
National Provider Identifier
1427529528
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08127 Issued in MD
Practice address
11201 Pepper Rd
Hunt Valley, MD 21031-1201
Phone
(410) 527-9505
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 08127 MD Primary

Addresses

Primary practice location

11201 Pepper Rd
Hunt Valley, MD 21031-1201

Mailing address

2852 Aspen Hill Rd
Parkville, MD 21234-2143
Phone (443) 812-8448

Other names 1

  • Shelby Starr Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Health System Inc. Occupational Therapist PastSince Sep 17, 2023 Accepting new patients
Sheppard Pratt Health System, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1427529528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 ASPEN HILL RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342143",
            "telephone_number": "443-812-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 PEPPER RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311201",
            "telephone_number": "410-527-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBROUGH",
        "first_name": "SHELBY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "STARR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.