Individual provider Active NPI

Sheila G McCullough, OTR, CHT

  • Hand Occupational Therapist
  • Saint Cloud, FL
National Provider Identifier
1609947563
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT22351 Issued in FL
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

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1008974MedicaidVT

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

LicenseStateTypeSpecialty
OT22351FLMDHand Occupational Therapist
072-0000099VTMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.