Stephanie Clare Shoemaker, OT/L, CKTP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106586 Issued in TX

Practice address

5340 Townes Square Drive
Plano, TX 75024

Phone

(972) 316-7888

NPI assigned

Jul 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1821441031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 GRASSY CREEK DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025357",
            "telephone_number": "903-235-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 TOWNES SQUARE DRIVE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-316-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "STEPHANIE",
        "middle_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "OT/L, CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106586",
            "primary": true
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiva Medical Care Center LLC
• Jennifer Shivers, PA-C
• Sarika Bhatnagar Shivnani, MD
• Rebecca Ellen Shmukler, OTR/L
• Mark Shoemaker II
• Kenneth Alan Shore, M.D.
• Mary Shorney, MS, RD, LD, CDE
• Michael Christopher Short, MD
• Katelyn Shortes
• Riley Shoubash, LPC

• Occupational Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.