Shahd Ajlani, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Summerville, SC

NPI 1497423859 · NPPES record last updated Sep 1, 2021

Key facts

NPI
1497423859
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5305 (SC)
Practice address
9730 Dorchester Rd Unit 206
Summerville, SC 29485-9034
Phone
(843) 594-3032
Fax
(843) 285-5921
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5305SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hears 2 You LLC Current
since Jan 19, 2025
Accepting new patients
Palmetto Hearing Care Center, LLC Current
since Sep 5, 2021
Accepting new patients

Locations

9730 Dorchester Rd
Unit 206
Summerville, SC 29485
Phone (843) 364-6361

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5305 SC Yes

Addresses

Primary practice location

9730 Dorchester Rd Unit 206
Summerville, SC 29485-9034

Mailing address

PO Box 51025
Summerville, SC 29485-1025
Phone (843) 594-3032

Other providers in Summerville, SC

All providers in Summerville, SC · Occupational Therapy Assistant in South Carolina

Sources for this page

Verify at the official NPI Registry.