Individual provider Active NPI

Sheila Renee Wolf, OTRL

  • Occupational Therapist
  • Cassville, MO
National Provider Identifier
1548347404
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2003008373 Issued in MO
Practice address
18482 Farm Road 1140
Cassville, MO 65625-8398
Phone
(337) 321-2166
NPI assigned
Oct 31, 2006
Last updated
Dec 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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 2003008373 MO Primary

Addresses

Primary practice location

18482 Farm Road 1140
Cassville, MO 65625-8398

Mailing address

1 Park Dr a
Holiday Island, AR 72631-9405
Phone (479) 363-6422

Other names 1

  • Sheila Renee Muse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128000696 AR Practitioner - Occupational Therapist in Private Practice 6204139041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolf Wellness Center PLLCGroup PAC ID 5395048136, 4 clinicians

Practice addresses (Care Compare)

23 Parkcliff Dr
Holiday Island, AR 72631-8045
Phone (479) 363-6422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003008373MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Sports Therapy LLC Occupational Therapist CurrentSince Jun 1, 2016 Accepting new patients

Locations

23 Parkcliff Dr
Holiday Island, AR 72631
Phone (479) 363-6422

201 S 19th St
Ste A
Rogers, AR 72758
Phone (479) 372-3700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1548347404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK DR A",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726319405",
            "telephone_number": "479-363-6422",
            "fax_number": "479-363-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18482 FARM ROAD 1140",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656258398",
            "telephone_number": "337-321-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SHEILA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2003008373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "MUSE",
            "middle_name": "RENEE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cassville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.