Active NPI
Angela R Shehorn, OTR
- Occupational Therapist
- West Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31003006A
- Practice address
- 917 Sagamore Pkwy W
West Lafayette, IN 47906-1443 - Phone
- (765) 463-2200
- Fax
- (765) 463-3625
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31003006A | IN | Primary |
Addresses
Primary practice location
917 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000961346 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200935630 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2600 Ferry St
Lafayette, IN 47904-3055
Phone (765) 448-8000
2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000
5165 McCarty LN
Lafayette, IN 47905-8764
Phone (765) 448-8000
5177 McCarty LN
Lafayette, IN 47905-8764
Phone (765) 448-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Occupational Therapist | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| State of Indiana Auditor of State | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Therapy Etc Inc | Occupational Therapist | Past | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2600 Greenbush St
Lafayette, IN 47904
2600 Ferry St
Lafayette, IN 47904
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
3851 N River Rd
West Lafayette, IN 47906
Phone (765) 463-1502
3851 N River Rd
Ofc
West Lafayette, IN 47906
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Psychiatric Hospital
- Madison, IN
- NPI 1700876224
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
Occupational Therapist
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Nursing Facility/Intermediate Care Facility
- West Lafayette, IN
- NPI 1194778001
-
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1023613403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1932289709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061443",
"telephone_number": "765-463-2200",
"fax_number": "765-463-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEHORN",
"first_name": "ANGELA",
"middle_name": "R",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003006A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000961346",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200935630",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.