Jacqueline Patricia Sheldon, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026579 Issued in NY

Practice address

100 John Roemmelt Dr Ste 100
Horseheads, NY 14845-8302

Phone

(607) 737-7804

NPI assigned

Aug 3, 2018

Last updated

Mar 29, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Colorado Center for Pediatric Learning and Development

  • Pediatric Physical Therapist
  • Denver, CO
  • NPI 1477699833

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1699253310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR STE 100",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458302",
            "telephone_number": "607-737-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR STE 100",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458302",
            "telephone_number": "607-737-7804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 Elm St",
            "address_2": "Rooms 310, 308, 306",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80220",
            "country_code": "US",
            "telephone_number": "303-333-4982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "JACQUELINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Danielle Scott, M.S., CCC-SLP
• Leonid Segal, M.D.
• Natalya Selina Segal, DO
• Patricia Ann Shay
• Jean M Sheahan, OTR
• Stephanie Shepherd, MS, OTR/L
• Rebecca A Sherwood, CCC-SLP
• Christina C Sirois, LCSW-R
• SLH Optical, Inc. (Pearle Vision Arnot Mall)
• Charlize Noelle Slusser, OTR/L MOT

• Occupational Therapist in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.