Individual provider Active NPI

Shelby Sagmani, OTRL

  • Occupational Therapist
  • Needham, MA
National Provider Identifier
1740896703
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201011005 Issued in MI
Practice address
200 Highland Ave Ste 202
Needham, MA 02494-3035
Phone
(857) 990-6111
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 027233 NY
Occupational Therapist 225X00000X 24491 CA
Occupational Therapist 225X00000X 123107 TX
Occupational Therapist 225X00000X OT23076 FL
Occupational Therapist 225X00000X 5201011005 MI Primary

Addresses

Primary practice location

200 Highland Ave Ste 202
Needham, MA 02494-3035

Mailing address

200 Highland Ave Ste 202
Needham, MA 02494-3035
Phone (857) 990-6111

Other names 1

  • SS SS Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, MA, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201007001869 MI Practitioner - Occupational Therapist in Private Practice 4385063528 Reassigns benefits to 1 organization
I20220420001033 FL Practitioner - Occupational Therapist in Private Practice 4385063528
I20220714002332 MA Practitioner - Occupational Therapist in Private Practice 4385063528
I20230113000863 CA Practitioner - Occupational Therapist in Private Practice 4385063528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24491CAMDClinical Social Worker
OT23076FLMDOccupational Therapist
5201011005MIMDOccupational Therapist
123107TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Unlimited, LLC CurrentSince Mar 14, 2023 Accepting new patients
Xrhealth USA Inc CurrentSince May 7, 2024 Accepting new patients

Locations

177 Huntington Ave
Ste 1703
Boston, MA 02115
Phone (413) 687-4951

1330 Beacon St
Ste 209
Brookline, MA 02446
Phone (857) 706-4907

200 Highland Ave
Ste 202
Needham Heights, MA 02494
Phone (850) 687-6000

44125 W Twelve Mile Rd
Ste E-123
Novi, MI 48377
Phone (248) 442-5011

Organizations & group practices 3

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1740896703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE STE 202",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943035",
            "telephone_number": "857-990-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE STE 202",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943035",
            "telephone_number": "857-990-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGMANI",
        "first_name": "SHELBY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027233",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24491",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123107",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23076",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SS",
            "last_name": "SS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.