Individual provider Active NPI

Shenita Renee Thomas, COTA/L

  • Occupational Therapy Assistant
  • Memphis, TN
National Provider Identifier
1801383765
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
TA3206 Issued in MS
Practice address
Regional One Health
890 Madison Avenue
Memphis, TN 38103
Phone
(901) 545-7100
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X TA3206 MS Primary

Addresses

Primary practice location

Regional One Health
890 Madison Avenue
Memphis, TN 38103

Mailing address

4576 Appleville St
Memphis, TN 38109-5708
Phone (901) 949-2808

Other practice location 1

111 Chase St
Byhalia, MS 38611-7395
Phone (662) 838-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TA3206MSMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1801383765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 APPLEVILLE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381095708",
            "telephone_number": "901-949-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REGIONAL ONE HEALTH",
            "address_2": "890 MADISON AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-545-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Chase St",
            "address_purpose": "LOCATION",
            "city": "Byhalia",
            "state": "MS",
            "postal_code": "386117395",
            "country_code": "US",
            "telephone_number": "662-838-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHENITA",
        "middle_name": "RENEE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "TA3206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.