Jene R Shaw, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011075 Issued in OH

Practice address

5790 Denlinger Rd
Dayton, OH 45426-1838

Phone

(937) 837-5581

NPI assigned

Jul 16, 2020

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 identifiers 1

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1669080529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 LINCOLN RD",
            "city": "MEDWAY",
            "state": "OH",
            "postal_code": "453411567",
            "telephone_number": "937-901-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 DENLINGER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261838",
            "telephone_number": "937-837-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JENE",
        "middle_name": "R",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OTPTAT BOARD (OCCUPATIONAL THERAPY LICENSE)",
            "identifier": "OT011075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Hope Sharp, MSW, CMSW
• Whitney Lee Sharp, D.O.
• Aaron Shaver, MD
• Sharon Shaver, IMFT
• Jeffrey B Shaw, M.D.
• Katharine Mary Shaw
• Scott David Shaw, MD
• Amy C. Shay, RN
• Kathleen C Shay, LISW
• Paul Shay, PHARMD, MBA

• Occupational Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.