Shelley L Earley, OT
Individual provider Active NPI Occupational Therapist · Westminster, VT
NPI 1891995429 · NPPES record last updated Jul 22, 2007
Key facts
- NPI
- 1891995429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 072-0000562 (VT)
- Practice address
- 4923 US Route 5
Sojourns Community Health Clinic
Westminster, VT 05158-9651 - Phone
- (802) 722-4023
- Fax
- (802) 722-4137
- NPI assigned
- Jul 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072-0000562 | VT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 072-0000562 | VT | Yes |
Addresses
Primary practice location
4923 US Route 5
Sojourns Community Health Clinic
Westminster, VT 05158-9651
Mailing address
4923 US Route 5
Sojourns Community Health Clinic
Westminster, VT 05158-9651
Phone (802) 722-4023
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072-0000562 | Other | VT | VT STATE LICENSE |
Other providers in Westminster, VT
- April Brumson
- Maria Jewel Cabri
- Alexis Chesney
- Kathy E Daigle
- Ericka Dekle
- Leah Christine Gordon
- Stephanie Green
- Pamela Gross
- Christopher S Hastings
- Tracy Lynn Hawse
All providers in Westminster, VT · Occupational Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.