NPIMap

Individual provider Active NPI

Shelly Howman, OTR L

  • Occupational Therapist
  • Marietta, GA
National Provider Identifier
1508922360
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003063 Issued in GA
Practice address
3193 Holly Mill Run
Marietta, GA 30062-5480
Phone
(770) 653-3077
Fax
(770) 509-1321
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 003063 GA Primary

Addresses

Primary practice location

3193 Holly Mill Run
Marietta, GA 30062-5480

Mailing address

3193 Holly Mill Run
Marietta, GA 30062-5480
Phone (770) 653-3077

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
003063GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen S. White Occupational Therapist Past Accepting new patients
Karen S. White Occupational Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508922360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOLLY MILL RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625480",
            "telephone_number": "770-653-3077",
            "fax_number": "770-509-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOLLY MILL RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625480",
            "telephone_number": "770-653-3077",
            "fax_number": "770-509-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWMAN",
        "first_name": "SHELLY",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "003063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.