Individual provider Active NPI

Sheila Ganley, OTR/L, C/NDT

  • Occupational Therapist
  • Columbia, MO
National Provider Identifier
1871630053
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004953 Issued in MO
Practice address
8081 N Hickory Dr
Columbia, MO 65202-7374
Phone
(573) 673-1137
Fax
(573) 441-1411
NPI assigned
Jan 30, 2007
Last updated
Aug 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004953 MO Primary

Addresses

Primary practice location

8081 N Hickory Dr
Columbia, MO 65202-7374

Mailing address

8081 N Hickory Dr
Columbia, MO 65202-7374
Phone (573) 673-1137

Other identifiers 1

IdentifierTypeStateIssuer
475442422MedicaidMO

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1871630053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 N HICKORY DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652027374",
            "telephone_number": "573-673-1137",
            "fax_number": "573-441-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 N HICKORY DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652027374",
            "telephone_number": "573-673-1137",
            "fax_number": "573-441-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY",
        "first_name": "SHEILA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, C/NDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475442422",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.