Active NPI
Jody Shippa, M.S. OTR
- Occupational Therapist
- Berryville, VA
National Provider Identifier
1689049934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002824
- Practice address
- 1010 Parshall Rd
Berryville, VA 22611-3174 - Phone
- (540) 955-6312
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002824 | VA | Primary |
Addresses
Primary practice location
1010 Parshall Rd
Berryville, VA 22611-3174
Mailing address
1010 Parshall Rd
Berryville, VA 22611-3174
Phone (540) 955-6312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119002824 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1689049934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 PARSHALL RD",
"city": "BERRYVILLE",
"state": "VA",
"postal_code": "226113174",
"telephone_number": "540-955-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PARSHALL RD",
"city": "BERRYVILLE",
"state": "VA",
"postal_code": "226113174",
"telephone_number": "540-955-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPPA",
"first_name": "JODY",
"name_prefix": "Mrs.",
"credential": "M.S. OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berryville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.