Therapelvic Occupational Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

THERAPELVIC OCCUPATIONAL THERAPY

Practice address

2712 Carrington CT
Sunderland, MD 20689-3030

Phone

(701) 578-5275

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle Shea, MSOTR/L

Title

Owner/Occupational Therapist

Phone

(701) 578-5275

Specialties & licenses 2

Addresses

Other names 1

• TheraPelvic Doing business as

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1669126041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 CARRINGTON CT",
            "city": "SUNDERLAND",
            "state": "MD",
            "postal_code": "206893030",
            "telephone_number": "701-578-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 CARRINGTON CT",
            "city": "SUNDERLAND",
            "state": "MD",
            "postal_code": "206893030",
            "telephone_number": "701-578-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPELVIC OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "701-578-5275",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraPelvic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Fabiszak-Harrison, CCC-SLP
• Thomas Lawrence Floyd, ACSW, LCSW-C, LICSW
• Karen L Herb, MS CNS LDN
• Heather Geddings Lamb, SLP
• Next Step, ABA
• Shirley Walker
• Sarah Zinchiak, CRNP

• Rehabilitation Clinic/Center in Sunderland, MD
• Providers in Sunderland, MD by specialty
• Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.