NPIMap

Organization Active NPI

Shamrock Therapy Services

  • Occupational Therapist
  • Ocala, FL
National Provider Identifier
1578829115
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
354 Issued in FL
Legal business name
SHAMROCK THERAPY SERVICES
Practice address
2910 SE 7TH St
Ocala, FL 34471-2768
Phone
(352) 804-0753
Fax
(352) 620-2272
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Mrs. Kathleen Banta, OTRNPI 1346384617
Title
Occpational Therapist/Owner
Phone
(352) 804-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 354 FL Primary

Addresses

Primary practice location

2910 SE 7TH St
Ocala, FL 34471-2768

Mailing address

2910 SE 7TH St
Ocala, FL 34471-2768
Phone (352) 804-0753

Other identifiers 3

IdentifierTypeStateIssuer
881488100OtherFLMEDICAID GROUP NUMBER SHAMROCK THERAPY SERVICES
Z1623OtherFLBLUE CROSS BLUE SHIELD
880196700OtherFLMEDICAID INDIVIDUAL NUMBER KATHLEEN BANTA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1578829115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SE 7TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712768",
            "telephone_number": "352-804-0753",
            "fax_number": "352-620-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 SE 7TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712768",
            "telephone_number": "352-804-0753",
            "fax_number": "352-620-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "BANTA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OCCPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "352-804-0753",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER SHAMROCK THERAPY SERVICES",
            "identifier": "881488100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z1623",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL NUMBER KATHLEEN BANTA",
            "identifier": "880196700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.