Individual provider Active NPI

Clarice Lucille Handshy, COTA/L

  • Occupational Therapy Assistant
  • Muscle Shoals, AL
National Provider Identifier
1952856221
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4359 Issued in AL
Practice address
812 W Grand Ave
Muscle Shoals, AL 35661-2214
Phone
(217) 722-5144
NPI assigned
Aug 16, 2016
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.001756 IL
Occupational Therapy Assistant 224Z00000X 4359 AL Primary

Addresses

Primary practice location

812 W Grand Ave
Muscle Shoals, AL 35661-2214

Mailing address

812 W Grand Ave
Muscle Shoals, AL 35661-2214
Phone (217) 722-5144

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4359ALMDOccupational Therapy Assistant
057.001756ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1952856221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W GRAND AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612214",
            "telephone_number": "217-722-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W GRAND AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612214",
            "telephone_number": "217-722-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDSHY",
        "first_name": "CLARICE",
        "middle_name": "LUCILLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.001756",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AL",
            "license": "4359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.