Individual provider Active NPI

Allison Shackelford, O.T.

  • Occupational Therapist
  • Trenton, TN
National Provider Identifier
1922476159
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4066 Issued in TN
Practice address
2036 US Highway 45 Byp S
Trenton, TN 38382-2941
Phone
(731) 855-4500
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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 4066 TN Primary

Addresses

Primary practice location

2036 US Highway 45 Byp S
Trenton, TN 38382-2941

Mailing address

2036 US Highway 45 Byp S
Trenton, TN 38382-2941
Phone (731) 855-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310000996 TN Practitioner - Occupational Therapist in Private Practice 9032582176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4066TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy & Learning Center Inc CurrentSince Oct 14, 2022 Accepting new patients
Therapy & Learning Center Inc Past Accepting new patients

Locations

32 Garland Dr
Jackson, TN 38305
Phone (731) 664-3645

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1922476159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 US HIGHWAY 45 BYP S",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383822941",
            "telephone_number": "731-855-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 US HIGHWAY 45 BYP S",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383822941",
            "telephone_number": "731-855-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "ALLISON",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.