Active NPI
Shenay Marvetta Dewberry, ATC
- Specialist
- Saint Louis, MO
National Provider Identifier
1629027735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2004027845
- Practice address
- 1300 Hampton Ave
Saint Louis, MO 63139-3163 - Phone
- (314) 434-6060
- Fax
- (314) 434-6066
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2004027845 | MO | Primary |
Addresses
Primary practice location
1300 Hampton Ave
Saint Louis, MO 63139-3163
Mailing address
2820 Liberty Landing CT
Florissant, MO 63033-7617
Phone (314) 630-8062
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 |
|---|---|---|---|
| 2004027845 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atr Hand Therapy LLC | Past | Accepting new patients | |
| Advanced Training and Rehab LLC | 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.
-
- Physical Therapist
- Chesterfield, MO
- NPI 1174576045
-
- Hand Occupational Therapist
- Chesterfield, MO
- NPI 1205973088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629027735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 LIBERTY LANDING CT",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630337617",
"telephone_number": "314-630-8062",
"fax_number": "314-434-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HAMPTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631393163",
"telephone_number": "314-434-6060",
"fax_number": "314-434-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWBERRY",
"first_name": "SHENAY",
"middle_name": "MARVETTA",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "2004027845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.