Individual provider Active NPI

Ann Elizabeth Shirley, OTR

  • Occupational Therapist
  • Kearney, NE
National Provider Identifier
1891000600
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1524 Issued in NE
Practice address
211 W 33Rd St Ste a
Kearney, NE 68845-3485
Phone
(308) 236-5884
Fax
(308) 236-9621
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 1524 NE Primary

Addresses

Primary practice location

211 W 33Rd St Ste a
Kearney, NE 68845-3485

Mailing address

211 W 33Rd St Ste a
Kearney, NE 68845-3485
Phone (308) 236-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606000976 NE Practitioner - Occupational Therapist in Private Practice 6901173327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite HW, LLCGroup PAC ID 9133617335, 3 clinicians
M and a Barth LLCGroup PAC ID 0840677647, 4 clinicians

Practice addresses (Care Compare)

4715 2ND Ave
Kearney, NE 68847-2417
Phone (308) 455-1500

4715 2ND Ave
Kearney, NE 68847-2463
Phone (308) 455-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1524NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite HW, LLC Occupational Therapist CurrentSince Sep 11, 2025 Accepting new patients
M & a Barth, LLC CurrentSince Jan 9, 2023 Accepting new patients

Locations

4715 2nd Ave
Kearney, NE 68847
Phone (308) 455-1500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1891000600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453485",
            "telephone_number": "308-236-5884",
            "fax_number": "308-236-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 33RD ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453485",
            "telephone_number": "308-236-5884",
            "fax_number": "308-236-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.