Dee Anne Sheridan Shockley, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2000152769 Issued in MO

Practice address

1610 E. Sunshine St.
Springfield, MO 65804

Phone

(423) 238-7217

Fax

(423) 238-3473

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dee Anne Sheridan Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Physical Therapy of Concordia Inc

  • Physical Therapist
  • Concordia, MO
  • NPI 1780620724
  NPD (past)
• Physical Therapy of Higginsville

  • Physical Therapist
  • Higginsville, MO
  • NPI 1457396756
  NPD (past)
• Serc Rehabilitation Partners, LLC

  • Physical Therapist
  • Belton, MO
  • NPI 1760745244

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1598897399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E. SUNSHINE ST.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E. SUNSHINE ST.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN SHOCKLEY",
        "first_name": "DEE",
        "middle_name": "ANNE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2000152769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEE",
            "last_name": "SHERIDAN",
            "middle_name": "ANNE",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NA'Kea Shepherd, DC
• Ryan K Shepherd, MA, LPC
• Shepherds Care and Consulting LLC
• Charles W Sheppard, MD
• Shelby Shepperly
• Austin David Sherman
• Richard M Sherman, DDS
• Judith Shields
• Lawrence Sylvester Shields, MD
• Anita A Shikany, PT, GCS

• All providers in Springfield, MO
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.