Shirley Elizabeth Blackwell, LOTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTT.200721 Issued in LA

Practice address

1745 SW Railroad Ave Ste 302
Hammond, LA 70403-6150

Phone

(985) 310-2160

NPI assigned

Jun 17, 2014

Last updated

Apr 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

Other names 1

• Miss Shirley Elizabeth Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Happy Hands Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Hammond, LA
  • NPI 1669871653

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1720492853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 SW RAILROAD AVE STE 302",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036150",
            "telephone_number": "985-310-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SW RAILROAD AVE STE 302",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036150",
            "telephone_number": "985-310-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Amite",
            "state": "LA",
            "postal_code": "704222408",
            "country_code": "US",
            "telephone_number": "985-748-7878",
            "fax_number": "985-748-2837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "SHIRLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.200721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "LEE",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Monique Bivona, FNP
• Connie Black
• William Geyman Black, M.D.
• Dewey Wright Blackwell, MD
• Kacie Blackwell, APRN
• Matthew L Blair
• Maria K Blake, DDS
• Suzanne Blake
• Abby Blanchard, LPC
• Christopher Peter Blanchard, DDS

• Pediatric Occupational Therapist in Hammond, LA
• Providers in Hammond, LA by specialty
• Pediatric Occupational Therapist in Louisiana

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