Individual provider Active NPI

Michele Stephanie Shawaluk

  • Occupational Therapist
  • Feasterville Trevose, PA
National Provider Identifier
1952692279
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC005707L Issued in PA
Practice address
2043 Shadybrook LN
Feasterville Trevose, PA 19053-2412
Phone
(267) 266-4863
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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 OC005707L PA Primary

Addresses

Primary practice location

2043 Shadybrook LN
Feasterville Trevose, PA 19053-2412

Mailing address

2043 Shadybrook LN
Feasterville Trevose, PA 19053-2412
Phone (267) 266-4863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1952692279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 SHADYBROOK LN",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190532412",
            "telephone_number": "267-266-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 SHADYBROOK LN",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190532412",
            "telephone_number": "267-266-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWALUK",
        "first_name": "MICHELE",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005707L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.