Shelby Renee Daniel, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006105 Issued in GA

Practice address

477 Prominence CT Ste 100
Dawsonville, GA 30534-6377

Phone

(401) 216-9564

NPI assigned

Dec 7, 2021

Last updated

May 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Renee Hicks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prosper Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Dawsonville, GA
  • NPI 1720660152
  NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1437817327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BAY DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347067",
            "telephone_number": "678-687-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 PROMINENCE CT STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346377",
            "telephone_number": "401-216-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SHELBY",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "HICKS",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellison Croft, NP-C
• Cara Reece Cronia, APRN
• Crossroads Treatment Center of Dawsonville, PC (Crossroads Treatment Center of Dawsonville)
• Wesley Cunningham
• Daniel S Winter, OD, PC
• Farrah Danielle, BC-HIS
• Dana Michele Davis, APRN, NP-C
• Jennifer Davis, AU.D.
• Kelly Austin Davis
• Dawson County Board of Education

• Occupational Therapist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.