Individual provider Active NPI

Sheila Kay Lynch, OTRL

  • Occupational Therapist
  • Saint Charles, MO
National Provider Identifier
1689720773
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2001016608 Issued in MO
Practice address
1500 S 5TH St
Saint Charles, MO 63303-4103
Phone
(636) 896-0999
Fax
(636) 896-0998
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2001016608 MO Primary

Addresses

Primary practice location

1500 S 5TH St
Saint Charles, MO 63303-4103

Mailing address

4541 Werner Rd
High Ridge, MO 63049-2888
Phone (636) 677-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170811001745 IL Practitioner - Occupational Therapist in Private Practice 6901177724 Reassigns benefits to 1 organization
I20170922001677 MO Practitioner - Occupational Therapist in Private Practice 6901177724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memory Care Home SolutionsGroup PAC ID 6608147418, 5 clinicians

Practice addresses (Care Compare)

4389 W Pine Blvd
Saint Louis, MO 63108-2205
Phone (314) 645-6247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001016608MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Care Home Solutions Occupational Therapist CurrentSince May 20, 2017 Accepting new patients
Showme Aquatics & Fitness Occupational Therapist Past Accepting new patients

Locations

4389 W Pine Blvd
Saint Louis, MO 63108
Phone (314) 645-6247

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1689720773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 WERNER RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492888",
            "telephone_number": "636-677-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 5TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034103",
            "telephone_number": "636-896-0999",
            "fax_number": "636-896-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SHEILA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001016608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.