Shauna Starks, OTR/L
Individual provider Active NPI Occupational Therapist · Centralia, MO
NPI 1821974643 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1821974643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2022037073 (MO)
- Practice address
- 451 S Jenkins St
Centralia, MO 65240-1524 - Phone
- (719) 339-7032
- NPI assigned
- Aug 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022037073 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2022037073 | MO | Yes |
Addresses
Primary practice location
451 S Jenkins St
Centralia, MO 65240-1524
Mailing address
451 S Jenkins St
Centralia, MO 65240-1524
Phone (719) 339-7032
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All providers in Centralia, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.