Shad Michael St. Louis, MS, OTR, CDRS

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

1927 Issued in CO

Practice address

3425 S Clarkson St
Englewood, CO 80113-2811

Phone

(303) 789-8218

NPI assigned

Feb 9, 2010

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1588996961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SAINT PAUL ST",
            "address_2": "#7",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061618",
            "telephone_number": "720-933-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S CLARKSON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132811",
            "telephone_number": "303-789-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. LOUIS",
        "first_name": "SHAD",
        "middle_name": "MICHAEL",
        "credential": "MS, OTR, CDRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "CO",
            "license": "1927",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CO",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Sprouse, DO
• Sprylyfe Inc
• SSC Englewood Operating Company LLC (Pearl Street Health and Rehabilitation Center)
• SSC Englewood Operating Company LLC (Pearl Street Health & Rehabilitation Center)
• St. Charbel Health, PLLC (St. Charbel Rheumatology)
• Jessica Louise Stackpool, LPC
• Donald E Stader
• Letti Nora Stafford, DO
• Cosette M. Stahl, D.O.
• Mary Stall, PSY.D.

• Physical Rehabilitation Occupational Therapist in Englewood, CO
• Providers in Englewood, CO by specialty
• Physical Rehabilitation Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.