Shirley Anne Blanchard, COTA/L

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

AH 767-OA Issued in MA

Practice address

15 Pine TRL
West Brookfield, MA 01585-2804

Phone

(508) 637-1171

NPI assigned

Jul 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1881972750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PINE TRL",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852804",
            "telephone_number": "508-637-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINE TRL",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852804",
            "telephone_number": "508-637-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "SHIRLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MA",
            "license": "AH 767-OA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Patricia Arsenault, NP
• Ascentria Care Alliance, Inc.
• Christian Bauchard, LMHC
• Jacob Bedard, DPT
• Anne Blake, LMHC, LADC
• Meagan Blodgett, MS, OTR/L
• Kaitlyn Bonneau, MS
• Brookhaven Assisted Living LLC
• Thomas Francis Cahill, DDS
• Keryth Evalyn Cargill, L.I.C.S.W.

• Day Training/Habilitation Specialist in West Brookfield, MA
• Providers in West Brookfield, MA by specialty
• Day Training/Habilitation Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.