Active NPI
Sheila G McCullough, OTR, CHT
- Hand Occupational Therapist
- Saint Cloud, FL
National Provider Identifier
1609947563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT22351
- Practice address
- 4047 13TH St
Saint Cloud, FL 34769-6772 - Phone
- (802) 558-3840
- NPI assigned
- Nov 13, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1569 | NC | |
| Hand Occupational Therapist | 225XH1200X | 072-0000099 | VT | |
| Hand Occupational Therapist | 225XH1200X | OT22351 | FL | Primary |
| Hand Occupational Therapist | 225XH1200X | 3736 | MA |
Addresses
Primary practice location
4047 13TH St
Saint Cloud, FL 34769-6772
Mailing address
87 Lye Brook Rd
Manchester Center, VT 05255-9544
Phone (802) 558-3840
Other practice location 1
501 E Oak St
Kissimmee, FL 34744-4554
Phone (407) 847-9110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008974 | Medicaid | VT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT22351 | FL | MD | Hand Occupational Therapist |
| 072-0000099 | VT | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Vermont Hand Therapy and Ergonomics | Past | Accepting new patients | |
| Rehabclinics SPT Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Rutland, VT
- NPI 1104003821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1609947563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 LYE BROOK RD",
"city": "MANCHESTER CENTER",
"state": "VT",
"postal_code": "052559544",
"telephone_number": "802-558-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4047 13TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696772",
"telephone_number": "802-558-3840"
}
],
"practiceLocations": [
{
"address_1": "501 E Oak St",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347444554",
"country_code": "US",
"telephone_number": "407-847-9110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "SHEILA",
"middle_name": "G",
"credential": "OTR, CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "1569",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "VT",
"license": "072-0000099",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT22351",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MA",
"license": "3736",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008974",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.