Organization
PIECE OUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE SHACKELFORD MOT, OTR/L (OCCUPATIONAL THERAPIST)
(405) 627-9325
Entity
Organization
Contact information
Practice address
19454 PIONEER WAY, CASHION, OK 73016-5500
(405) 627-9325
(866) 486-4825
Mailing address
19454 PIONEER WAY, CASHION, OK 73016-5500
(405) 627-9325
(866) 486-4825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1269
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200267230B
—
OK
Enumeration date
07/09/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up