Individual provider Active NPI

Rachel A Brittain-Shipley, MSOTR/L

  • Occupational Therapist
  • Morristown, TN
National Provider Identifier
1780634030
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3579 Issued in TN
Practice address
436A W 1St North St
Morristown, TN 37814-4641
Phone
(423) 586-1214
Fax
(423) 587-8136
NPI assigned
May 10, 2006
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 21821 FL
Occupational Therapist 225X00000X 3579 TN Primary

Addresses

Primary practice location

436A W 1St North St
Morristown, TN 37814-4641

Mailing address

260 Ritter Ave NE
Palm Bay, FL 32907-2237
Phone (423) 839-5250

Other names 1

  • Rachel A Williams Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526000820 FL Practitioner - Occupational Therapist in Private Practice 7618334111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21821FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince May 8, 2023 Accepting new patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince May 8, 2023 Accepting new patients
Innovative Therapy Solutions, PLLC Occupational Therapist Past Accepting new patients

Locations

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

9101 SW 24th St
Miami, FL 33165
Phone (305) 330-6698

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

2100 10th Ave
Vero Beach, FL 32960
Phone (772) 365-4539

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1780634030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 RITTER AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072237",
            "telephone_number": "423-839-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436A W 1ST NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144641",
            "telephone_number": "423-586-1214",
            "fax_number": "423-587-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTAIN-SHIPLEY",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21821",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WILLIAMS",
            "middle_name": "A",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.