Active NPI
Shelby A Lederman, OT
- Occupational Therapist
- Olney, MD
National Provider Identifier
1881101160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07507
- Practice address
- 2611 Olney Sandy Spring Rd
Olney, MD 20832-1604 - Phone
- (301) 570-2611
- NPI assigned
- Jan 8, 2018
- Last updated
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 07507 | MD | Primary |
Addresses
Primary practice location
2611 Olney Sandy Spring Rd
Olney, MD 20832-1604
Mailing address
10308 Crimson Tree CT
Columbia, MD 21044-2509
Phone (443) 878-6634
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07507 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1881101160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10308 CRIMSON TREE CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442509",
"telephone_number": "443-878-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 OLNEY SANDY SPRING RD",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321604",
"telephone_number": "301-570-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "SHELBY",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.