Coleen Joan Shaw, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2916 Issued in MA

Practice address

500 Cummings Ctr Ste 3850
Beverly, MA 01915-6509

Phone

(978) 232-0332

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1952065690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SOUTHWICK RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604230",
            "telephone_number": "978-766-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR STE 3850",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156509",
            "telephone_number": "978-232-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Pine St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019603635",
            "country_code": "US",
            "telephone_number": "978-536-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "COLEEN",
        "middle_name": "JOAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "2916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Francis Shalhoub, M.D.
• Linda Shannon
• Noah Jones Share, MSW
• Richa Sharma
• Jessica Ann Sharpe
• Amy Leigh Shea, FNP-C
• Josephine L Shea, FNP
• Lauren Shea, APRN
• Mary Caitlin Shea, MSW
• Alyssa Sheehan, DPT

• Occupational Therapy Assistant in Beverly, MA
• Providers in Beverly, MA by specialty
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.