Shelly Gilbert, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1270 Issued in AR

Practice address

252 Ouachita 45
Camden, AR 71701-9576

Phone

(870) 807-2505

NPI assigned

Dec 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1497024707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 OUACHITA 45",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717019576",
            "telephone_number": "870-807-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 OUACHITA 45",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717019576",
            "telephone_number": "870-807-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Jackson St SW",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AR",
            "postal_code": "717013941",
            "country_code": "US",
            "telephone_number": "870-836-5743",
            "fax_number": "870-836-6924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SHELLY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1270",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Frazier
• Lindsey Freeland, APRN
• Frances Caroline Fridell
• Garden Oaks Pharmacy Inc
• Ggnsc Camden LLC
• Patrick Lashane Gillette Jr., LAC
• Akquilla Golatt
• Golden Triangle Services, Inc
• Terry Arnette Gordon, DNP,APRN,AGACNP-BC
• Brittany D Green Haynie, PT, DPT

• Occupational Therapy Assistant in Camden, AR
• Providers in Camden, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.