Tara Shields

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

434368 Issued in AZ

Practice address

1425 S Lindsay Rd Unit 36
Mesa, AZ 85204-6233

Phone

(480) 282-0320

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

Yes

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1649806704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E ELMWOOD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S LINDSAY RD UNIT 36",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046233",
            "telephone_number": "480-282-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 E Elmwood St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035810",
            "country_code": "US",
            "telephone_number": "480-282-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "434368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrona L. Rago, DC, LLC
• Scott Brady Sherwood, P.A.-C
• Shaunte T Sherwood
• Shhphx LLC
• Scott G Shields, MD
• Lauren Shiffman, PTA
• David Wayne Shiflet, D.C.
• Shift Happens Transformative Counseling LLC
• Luke Shill, PT, DPT
• Grace Shim, ND

• Occupational Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.