Shelly Watkins, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013297 Issued in MI

Practice address

3751 2ND Ave Apt 1a
Detroit, MI 48201-1751

Phone

(313) 443-6925

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Orchid Autism LLC

  • Behavior Analyst
  • Clinton Township, MI
  • NPI 1336866458
  NPD (past)

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1699289066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13973 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545403",
            "telephone_number": "734-855-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 2ND AVE APT 1A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011751",
            "telephone_number": "313-443-6925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13973 Farmington Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481545403",
            "country_code": "US",
            "telephone_number": "734-855-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SHELLY",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Gail Watkins, M.A
• Kristy Watkins
• Lamont L Watkins
• Latoya Watkins, VCE TRAINING, CPR
• Michael Jerome Watkins
• Shikara Watkins, NONE
• Tammy R Watkins, LLMSW
• Angela Marie Watley
• Amy N. Watson, A.T.C.
• Anaya Rose Watson

• Occupational Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.