Organization Active NPI

Shelley K Hoak Otr PLLC

  • Occupational Therapist
  • South Burlington, VT
National Provider Identifier
1780579037
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SHELLEY K HOAK OTR PLLC
Practice address
1 Kennedy Dr # U3-4
South Burlington, VT 05403-7152
Phone
(802) 863-3323
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Shelley HoakNPI 1053474775
Title
OT
Phone
(802) 881-2443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1 Kennedy Dr # U3-4
South Burlington, VT 05403-7152

Mailing address

231 Lakewood Pkwy
Burlington, VT 05408-2726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250714002296 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991210536 Receives reassigned benefits from 1 practitioner
Practice locations: South Burlington, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1780579037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 LAKEWOOD PKWY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DR # U3-4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037152",
            "telephone_number": "802-863-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY K HOAK OTR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "HOAK",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "802-881-2443"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.