Individual provider Active NPI

Abigail Shamdin, OTR

  • Occupational Therapist
  • Knoxville, TN
National Provider Identifier
1508673732
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8083 Issued in TN
Practice address
122 Cavette Hill LN
Knoxville, TN 37934-6674
Phone
(865) 777-9000
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 8083 TN Primary

Addresses

Primary practice location

122 Cavette Hill LN
Knoxville, TN 37934-6674

Mailing address

5009 Andover Green Way Apt 304
Knoxville, TN 37918-4558

Other practice location 1

301 S Gallaher View Rd Ste 300
Knoxville, TN 37919-5370
Phone (865) 328-7410

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

LicenseStateTypeSpecialty
8083TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1508673732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 ANDOVER GREEN WAY APT 304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379184558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CAVETTE HILL LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379346674",
            "telephone_number": "865-777-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Gallaher View Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195370",
            "country_code": "US",
            "telephone_number": "865-328-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMDIN",
        "first_name": "ABIGAIL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.