Christi Jean Shelley, MSOT, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

411 W Haycraft Ave Ste D4
Coeur D Alene, ID 83815-8104

Phone

(208) 664-2468

NPI assigned

Feb 17, 2017

Last updated

May 2, 2017By the provider in NPPES

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 WA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Healthcare Inc.

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1780741439
  Medicare reassignment NPD
• Anchored Occupational Therapy

  • Pediatric Occupational Therapist
  • Otis Orchards, WA
  • NPI 1932983574

  Pediatrics

  NPD Authorized official
• Jump Start Pediatric Therapy, LLC

  • Physical Therapy Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1144494105
  NPD (past)
• Jump Start Pediatrics

  • Supports Brokerage Agency
  • Coeur d'Alene, ID
  • NPI 1881072817
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1710426150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W HAYCRAFT AVENUE STE D4",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-664-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W HAYCRAFT AVE STE D4",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158104",
            "telephone_number": "208-664-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "CHRISTI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MSOT, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Shaw, DDS
• Mary Jo Shaw, MD
• Robin R Shaw, MD
• Kimberly Lynn Shelden, LCSW
• Melanie Renee Shelden
• Shellman Inc PA (North Idaho Physical Therapy)
• Shelly D Sanders LCSW, LLC
• Amy Sheppard
• Amanda Sheridan
• Jo Anne E Sherman, LCPC

• Pediatric Occupational Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.