Active NPI
Roberta A Shelton, OTR
- Occupational Therapist
- Greenville, KY
National Provider Identifier
1992968085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R2328
- Practice address
- 515 Green Drive
Greenville, KY 42345 - Phone
- (270) 273-3750
- Fax
- (270) 273-3750
- NPI assigned
- Jul 8, 2008
- 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 | R2328 | KY | Primary |
Addresses
Primary practice location
515 Green Drive
Greenville, KY 42345
Mailing address
190 East State Highway 136
Calhoun, KY 42327
Phone (270) 273-3750
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
| License | State | Type | Specialty |
|---|---|---|---|
| R2328 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1992968085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 EAST STATE HIGHWAY 136",
"city": "CALHOUN",
"state": "KY",
"postal_code": "42327",
"telephone_number": "270-273-3750",
"fax_number": "270-273-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 GREEN DRIVE",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "42345",
"telephone_number": "270-273-3750",
"fax_number": "270-273-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "ROBERTA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R2328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.