Shelby Paez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119-007618 Issued in VA

Practice address

14366 Sommerville CT
Midlothian, VA 23113-6838

Phone

(804) 601-6010

Fax

(804) 601-4774

NPI assigned

Apr 6, 2018

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Gratz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Instructional Services

  • Early Intervention Provider Agency
  • Ashland, VA
  • NPI 1033516992
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1629575675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 BARBOUR RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232281925",
            "telephone_number": "540-645-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14366 SOMMERVILLE CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136838",
            "telephone_number": "804-601-6010",
            "fax_number": "804-601-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 England St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "VA",
            "postal_code": "230052013",
            "country_code": "US",
            "telephone_number": "804-368-8475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9991 Ridgefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232333600",
            "country_code": "US",
            "telephone_number": "804-592-1948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "SHELBY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-007618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "GRATZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca B Ozmore, M.ED., LPC
• Betty Blanton Pace, RPH
• Lupe Barbara Pacheco, P.A.
• Gardiner McKay Packer, D.D.S.
• Thomas B Padgett, DMD
• Ellen Marye Palen, M.D.
• Christopher E Paoloni, MD
• Unni Ligin Ligin Papachan
• Richard Papcun
• Shannon Colleen Pardo

• Occupational Therapist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.