Carlie Shields

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3072 Issued in MS

Practice address

355 Crossgates Blvd
Brandon, MS 39042-2602

Phone

(601) 825-3192

NPI assigned

Oct 27, 2015

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

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448

  Occupational Therapist

  Medicare reassignment NPD
• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1689046872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270428",
            "telephone_number": "716-662-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422602",
            "telephone_number": "601-825-3192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Highway 49 S",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MS",
            "postal_code": "392189425",
            "country_code": "US",
            "telephone_number": "769-233-8844",
            "fax_number": "769-251-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CARLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Sherinian, LCSW
• Amy Wallace Sherman, DMD
• Sam Sherrill III, CRNA
• Shields of Hope Counseling & Consulting, LLC
• Antwynette Brinkley Shields, DPC, LPC, NCC, CMHT
• Georgia Christine Shirley, CNP
• Brenna Grace W Shoemaker, OT
• Spencer L Shoemaker, DPT
• Aaron Shores
• Miriam Randolph Shufelt, FNP-C

• Occupational Therapist in Brandon, MS
• Providers in Brandon, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.