Shawnalea Shelly, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0779 Issued in AZ

Practice address

2314 S Val Vista Dr Ste 201
Gilbert, AZ 85295-5594

Phone

(623) 263-3966

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249
  Medicare reassignment NPD
• Soar Health, Inc.

  • Behavior Analyst
  • Denver, CO
  • NPI 1437751252

  Occupational Therapist

  NPD (past)
• Soar Medical Services PLLC

  • Developmental - Behavioral Pediatrics Physician
  • Denver, CO
  • NPI 1427932532

  Occupational Therapist

  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1508840810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23015 S 182ND ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988959",
            "telephone_number": "480-299-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 S VAL VISTA DR STE 201",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955594",
            "telephone_number": "623-263-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "SHAWNALEA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003805",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275138",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danaleigh Anne Sheehan, LMSW, APHSW-C
• Wendy Sheen, FNP
• Thomas Shellenberger, MD
• Amanda E Shelley, PA-C
• Melinda Shelley, FNP-C
• Shelton L Chow, DD, PLLC
• Jaime Shelton, LAC
• Shepherd Faith Navajo Homecare Service LLC
• Shepherd Faith Navajo Homecare Services, LLC
• Leah Christine Sheppard, RN

• Occupational Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.