SHELBY SAMPLE (NPI# 1750949392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750949392 |
| Entity Type | Individual |
| Full Name | SHELBY SAMPLE |
| Credential | OTD |
| Practice Address |
6775 40th Ave N Saint Petersburg FL 33709-4939 |
| Mailing Address |
260 1st Ave S Ste 200 Saint Petersburg FL 33701-4364 |
| Practice Telephone | 7278031102 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT19308 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6775 40TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33709-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285757179 | Patricia Gaffen | Occupational Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709 | 2007-04-07 |
| 1790330785 | Charles Lambert II | Physical Therapy Assistant | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2019-08-06 |
| 1861047862 | Emily Joy Potter | Occupational Therapy Assistant | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2019-08-06 |
| 1104384916 | Kelli Anne Faville | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2019-03-11 |
| 1578033650 | Whitney Blankenship | Occupational Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709 | 2018-11-30 |
| 1609343953 | Joseph Lyons | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2018-10-25 |
| 1437645488 | Clint Jester | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2018-07-02 |
| 1679095715 | Joy Coleman | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2017-07-11 |
| 1487081493 | Nathaniel Tyler Kephart | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792706 | Jessica Marie Ernsthausen | Occupational Therapist | 3036 25th Ave N, Saint Petersburg, FL 33713-3826 | 2020-08-28 |
| 1790329316 | Suzanne L Murray | Occupational Therapist | 7500 4th St N Ste B, Saint Petersburg, FL 33702-5400 | 2019-11-06 |
| 1811543242 | Martin J Tunney | Occupational Therapist | 5912 5th Ave N, Saint Petersburg, FL 33710-7056 | 2019-08-12 |
| 1114497856 | Lauren Witsaman | Occupational Therapist | 5101 Brittany Dr S Ste 16, Saint Petersburg, FL 33715-1565 | 2018-11-26 |
| 1619498466 | Kirstie Tullis | Occupational Therapist | 1963 Burlington Ave N, Saint Petersburg, FL 33713-8030 | 2017-07-02 |
| 1477002996 | Alicia Kopp | Occupational Therapist | 909 64th St S, Saint Petersburg, FL 33707-3021 | 2016-09-26 |
| 1114386588 | Caroline Aita Mccoy | Occupational Therapist | 1501 Brightwaters Blvd Ne, Saint Petersburg, FL 33704-3811 | 2016-02-15 |
| 1003169020 | Stacy Foust Renz | Occupational Therapist | 8424 4th St N Ste G, Saint Petersburg, FL 33702-3654 | 2012-10-16 |
| 1235390279 | Maria R. Sessa Grantham | Occupational Therapist | 1428 32nd Ave N, Saint Petersburg, FL 33704-1947 | 2008-06-23 |
| 1376710186 | Jessica Chalker | Occupational Therapist | 820 Dartmoor St N, Saint Petersburg, FL 33701-2334 | 2008-05-12 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on SHELBY SAMPLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.