Active NPI
Sheri Lynn Shepherd, OTR/L
- Occupational Therapist
- Beavercreek, OH
National Provider Identifier
1871817478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2914
- Practice address
- 2666 Longwood Dr
Beavercreek, OH 45431-1620 - Phone
- (937) 427-4102
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2914 | OH | Primary |
Addresses
Primary practice location
2666 Longwood Dr
Beavercreek, OH 45431-1620
Mailing address
2666 Longwood Dr
Beavercreek, OH 45431-1620
Phone (937) 427-4102
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2914 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1871817478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2666 LONGWOOD DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454311620",
"telephone_number": "937-427-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2666 LONGWOOD DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454311620",
"telephone_number": "937-427-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "SHERI",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "2914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.