Individual provider Active NPI

Shilpa Deshpande, MS, OTR/L

  • Occupational Therapist
  • Urbana, IL
National Provider Identifier
1891984530
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
810 W. Anthony Dr
Urbana, IL 61802-7431
Phone
(217) 326-2911
Fax
(217) 344-8047
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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 MD Primary

Addresses

Primary practice location

810 W. Anthony Dr
Urbana, IL 61802-7431

Mailing address

611 W. Park St
Urbana, IL 61801-2500
Phone (217) 326-2911

Other identifiers 4

IdentifierTypeStateIssuer
113326OtherILHEALTHLINK PROVIDER ID
7216OtherILPERSONALCARE PROVIDER ID
203OtherILBLUE CROSS PROVIDER ID
4117OtherILHAMP PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120000955 UT Practitioner - Occupational Therapist in Private Practice 4183072846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand and Orthopedic Rehabilitation Specialists PCGroup PAC ID 0547252207, 26 clinicians

Practice addresses (Care Compare)

596 W 750
Suite 210
Bountiful, UT 84010-7262
Phone (801) 298-2533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056008087MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Orthopedic Rehabilitation Specialists PC Occupational Therapist Current Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC CurrentSince Oct 10, 2023 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC CurrentSince Oct 10, 2023 Accepting new patients
Carle Foundation Hospital Occupational Therapist Past Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC Past Accepting new patients

Locations

596 W 750 S
Ste 210
Bountiful, UT 84010
Phone (801) 298-2533

5151 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 261-3321

702 E South Temple
Ste 102
Salt Lake City, UT 84102
Phone (801) 328-8535

Organizations & group practices 6

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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1891984530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-326-2911",
            "fax_number": "217-344-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W. ANTHONY DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618027431",
            "telephone_number": "217-326-2911",
            "fax_number": "217-344-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "SHILPA",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER ID",
            "identifier": "113326",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONALCARE PROVIDER ID",
            "identifier": "7216",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "203",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAMP PROVIDER ID",
            "identifier": "4117",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.