Active NPI
Troy Clark Shelton, OTR/L, CHT, CEAS
- Hand Occupational Therapist
- Fremont, CA
National Provider Identifier
1992360044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT4214
- Practice address
- 39180 Farwell Dr Ste 211
Fremont, CA 94538-1015 - Phone
- (510) 857-1000
- NPI assigned
- May 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT4214 | CA | Primary |
Addresses
Primary practice location
39180 Farwell Dr Ste 211
Fremont, CA 94538-1015
Mailing address
39180 Farwell Dr Ste 211
Fremont, CA 94538-1015
Phone (510) 857-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4214 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1992360044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39180 FARWELL DR STE 211",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381015",
"telephone_number": "510-857-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39180 FARWELL DR STE 211",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381015",
"telephone_number": "510-857-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "TROY",
"middle_name": "CLARK",
"credential": "OTR/L, CHT, CEAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT4214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.