Individual provider Active NPI

Shalonda Hall, OT

  • Occupational Therapist
  • Merrillville, IN
National Provider Identifier
1801550660
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004311A Issued in IN
Practice address
8690 Broadway Ste a
Merrillville, IN 46410-7034
Phone
(219) 750-9600
Fax
(219) 370-0096
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 056.008432 IL
Occupational Therapist 225X00000X 31004311A IN Primary

Addresses

Primary practice location

8690 Broadway Ste a
Merrillville, IN 46410-7034

Mailing address

8690 Broadway Ste a
Merrillville, IN 46410-7034
Phone (219) 750-9600

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
056.008432ILMDOccupational Therapist
31004311AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Silhouette, LLC Current Accepting new patients
Superpsyched, LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

8690 Broadway
Merrillville, IN 46410
Phone (219) 315-9700

8690 Broadway
Ste A
Merrillville, IN 46410
Phone (219) 627-2542

Organizations & group practices 2

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1801550660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 BROADWAY STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-750-9600",
            "fax_number": "219-370-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 BROADWAY STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-750-9600",
            "fax_number": "219-370-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHALONDA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.008432",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004311A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.