Individual provider Active NPI

Shelby Dunaway, MS, OTR/L

  • Occupational Therapist
  • Little Rock, AR
National Provider Identifier
1720523863
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3663 Issued in AR
Practice address
2101 Rahling Road
Suite B
Little Rock, AR 72223-7504
Phone
(866) 808-4133
Fax
(866) 849-2728
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5543 TN
Occupational Therapist 225X00000X OTR3663 AR Primary

Addresses

Primary practice location

2101 Rahling Road
Suite B
Little Rock, AR 72223-7504

Mailing address

PO Box 124
Gallman, MS 39077-0124
Phone (866) 808-4133

Other practice location 1

2710 Trotwood Ave
Columbia, TN 38401-4903
Phone (931) 388-7182

Other names 1

  • Shelby Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230116000812 AR Practitioner - Occupational Therapist in Private Practice 8224409909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Rahling Rd
Apt B
Little Rock, AR 72223-7504
Phone (501) 650-8217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Rehab in Motion, LLC Occupational Therapist CurrentSince Jun 23, 2024 Accepting new patients
Rehab in Motion, LLC Occupational Therapist CurrentSince Mar 4, 2024 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1720523863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "GALLMAN",
            "state": "MS",
            "postal_code": "390770124",
            "telephone_number": "866-808-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RAHLING ROAD",
            "address_2": "SUITE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722237504",
            "telephone_number": "866-808-4133",
            "fax_number": "866-849-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Trotwood Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384014903",
            "country_code": "US",
            "telephone_number": "931-388-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "SHELBY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5543",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "WALKER",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.