Active NPI
Shelley Paton, M.S. OTR/L
- Pediatric Occupational Therapist
- Grover Beach, CA
National Provider Identifier
1598511982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2052
- Practice address
- 191 S Oak Park Blvd Ste 9
Grover Beach, CA 93433-2265 - Phone
- (805) 474-6811
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2052 | CA | Primary |
Addresses
Primary practice location
191 S Oak Park Blvd Ste 9
Grover Beach, CA 93433-2265
Mailing address
191 S Oak Park Blvd Ste 9
Grover Beach, CA 93433-2265
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2052 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions for Kids | Pediatrics | Current | Accepting new patients |
Locations
191 S Oak Park Blvd
Ste 9
Grover Beach, CA 93433
Phone (805) 474-6811
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1598511982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 S OAK PARK BLVD STE 9",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934332265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S OAK PARK BLVD STE 9",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934332265",
"telephone_number": "805-474-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATON",
"first_name": "SHELLEY",
"credential": "M.S. OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "2052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grover Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.