Shay Lynn Rae Tasker, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2123 Issued in WV

Practice address

4767 Frankfort Hwy
Ridgeley, WV 26753-7772

Phone

(304) 738-4045

NPI assigned

Sep 3, 2020

Last updated

Sep 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• X-Cel Performance Rehab LLC

  • Physical Rehabilitation Occupational Therapist
  • Ridgeley, WV
  • NPI 1891168381
  NPD

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1558975854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 SWANTON RD",
            "city": "SWANTON",
            "state": "MD",
            "postal_code": "215611009",
            "telephone_number": "301-616-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 FRANKFORT HWY",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267537772",
            "telephone_number": "304-738-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKER",
        "first_name": "SHAY LYNN",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09107",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Love Sponaugle
• John G. Stansbury, M.D.
• Molly A Stevey
• Jessica Steward, CRNP
• Alexis Stuby
• Peggy Trenter
• Dawna Jo Twigg
• Upmc Western Maryland Corporation (UPMC Western Maryland)
• Laurel Mary Voss, MSW
• Natalie Watson

• Occupational Therapist in Ridgeley, WV
• Providers in Ridgeley, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.