Megan Eidenshink Shelly

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

8611147-4201 Issued in UT

Practice address

280 N Main St
Second Floor
Bountiful, UT 84010-6136

Phone

(801) 292-8665

NPI assigned

Apr 2, 2013

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

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1639412208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 S 300 E",
            "address_2": "APT 2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152873",
            "telephone_number": "724-766-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106136",
            "telephone_number": "801-292-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "MEGAN",
        "middle_name": "EIDENSHINK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "UT",
            "license": "8611147-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhett Shamo, OTR/L
• Shared Expectations PLLC
• Tara Sharifan, PSYD
• Lisa Ann Sharp, FNP
• Brooke Sheffer
• Elisabeth Sheridan, LCSW
• Rosemary Elin Sherlock, LCSW
• Jessica Elizabeth Sherman, PT, DPT
• Jay Glen Shields, DDS
• Russell Brent Shields, MD

• Pediatric Occupational Therapist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Pediatric Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.