Shelly Elaine Brown, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

14642 Issued in MA

Practice address

409 Lexington St
Waltham, MA 02452-0933

Phone

(781) 647-9976

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1609305408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MYSTIC VALLEY PKWY APT 415",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555733",
            "telephone_number": "503-484-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024520933",
            "telephone_number": "781-647-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHELLY",
        "middle_name": "ELAINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "377983",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MA",
            "license": "14642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brooks
• Paige Brousseau, MSOT, OTR/L
• Chelsea Frances Brown, PT, DPT
• Hannah Brown, MS
• Jennifer Denise Brown, PSY.D., ATR-BC
• Brittany Browning, LCSW
• Kiera Bruce
• Judianne Brugger
• Alice Brunelli
• Maya Bryant

• Mental Health Occupational Therapist in Waltham, MA
• Providers in Waltham, MA by specialty
• Mental Health Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.