Active NPI
Shelby D'Arezzo, MOT, OTR
- Occupational Therapist
- Abilene, TX
National Provider Identifier
1548928534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 4601 Hartford St
Abilene, TX 79605-4603 - Phone
- (325) 793-3400
- Fax
- (325) 793-3587
- NPI assigned
- Dec 7, 2021
- Last updated
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
4601 Hartford St
Abilene, TX 79605-4603
Mailing address
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3400
Other names 1
- Miss Shelby Kennedy
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Apple LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1548928534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 HARTFORD ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054603",
"telephone_number": "325-793-3400",
"fax_number": "325-793-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 HARTFORD ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054603",
"telephone_number": "325-793-3400",
"fax_number": "325-793-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AREZZO",
"first_name": "SHELBY",
"name_prefix": "Mrs.",
"credential": "MOT, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "KENNEDY",
"prefix": "MISS",
"credential": "MOT, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
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- Isabella Marie Dacumos
- Nageswari K Daggubati, MD
- Sam Daggubati, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.