Melissa Shockley, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2957 Issued in NE

Practice address

913 Village SQ
Gretna, NE 68028-7853

Phone

(402) 932-0747

Fax

(402) 991-5685

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

Yes

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 NE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Physical Therapy and Sports CenterGroup PAC ID 7214970177, 36 clinicians

Practice addresses (Care Compare)

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.

• Family Physical Therapy & Sports Center

  • Physical Therapist
  • Kearney, NE
  • NPI 1356373658
  Medicare reassignment Care Compare group NPD
• Family Physical Therapy & Sports Center

  • Chiropractor
  • Kearney, NE
  • NPI 1326551532
  NPD
• Family Physical Therapy & Sports Center

  • Physical Therapist
  • Ravenna, NE
  • NPI 1942417852
  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1699593285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287853",
            "telephone_number": "402-932-0747",
            "fax_number": "402-991-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287853",
            "telephone_number": "402-932-0747",
            "fax_number": "402-991-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "MELISSA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NE",
            "license": "2957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Schiffmann, RPH
• Hallee Schoone
• Margaret Schulte
• Rylie Sebben
• Rylie Sherman
• Carolyn Michelle Showalter, M.S.,CCC-SLP
• Megan Shrader
• Silver Ridge Inc
• Julia Rose Smith, M.S. CCC-SLP
• Lynn Snoza

• Pediatric Occupational Therapist in Gretna, NE
• Providers in Gretna, NE by specialty
• Pediatric Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.