Active NPI
Melinda S Shetler, OTR/L
- Physical Rehabilitation Occupational Therapist
- North Liberty, IA
National Provider Identifier
1609156918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 01035
- Practice address
- 65 Bayberry LN
North Liberty, IA 52317-9789 - Phone
- (319) 665-6408
- NPI assigned
- Aug 18, 2011
- Last updated
- Aug 18, 2011
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 01035 | IA | Primary |
Addresses
Primary practice location
65 Bayberry LN
North Liberty, IA 52317-9789
Mailing address
65 Bayberry LN
North Liberty, IA 52317-9789
Phone (319) 665-6408
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035 | IA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1609156918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BAYBERRY LN",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179789",
"telephone_number": "319-665-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BAYBERRY LN",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179789",
"telephone_number": "319-665-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETLER",
"first_name": "MELINDA",
"middle_name": "S",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IA",
"license": "01035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.