Shelby Mitchell, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

297730 Issued in KY

Practice address

71 Orphanage Rd
Fort Mitchell, KY 41017-3006

Phone

(859) 331-0880

NPI assigned

Feb 25, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redwood School & Rehabilitation Center, Inc.

  • Speech-Language Pathologist
  • Ft Mitchell, KY
  • NPI 1568732758

  Single Specialty

  Medicare reassignment NPD
• Redwood School and Rehabilitation Center, Inc.

  • Speech-Language Pathologist
  • Ft Mitchell, KY
  • NPI 1801278957
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1528864956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 DRY RIDGE MOUNT ZION RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410357813",
            "telephone_number": "859-630-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-331-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHELBY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "297730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Martin McGinnis
• Lindsey M McLernon, DPT
• Dominique Mekkam, MD
• Jennifer Mercado, O.D.
• Angela Denise Miller, APRN-CNP
• Michael E Molony, DMD PSC
• Mortenson Family Dental Center- Ft Wright PLLC
• Natalie Marie Mulholland, OTD, OTR/L
• Constance Nauert
• Northern Kentucky Home Health Care

• Occupational Therapist in Fort Mitchell, KY
• Providers in Fort Mitchell, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.