PHILLIP SCOTT SHACKELFORD OTR/L
NPI 1548615800
Occupational Therapist in Martinez, GA

Active since April 25, 2016
125 GARY GLEN DR, MARTINEZ, GA 30907(706) 394-4015 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phillip Scott Shackelford Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP SCOTT SHACKELFORD OTR/L (NPI 1548615800) is an individual occupational therapist in Martinez, Georgia, licensed in Georgia (OT006295) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1548615800
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NamePHILLIP SCOTT SHACKELFORDCredential: OTR/L
Location Address125 GARY GLEN DRMartinez, GA 30907-2615
Mailing Address125 Gary Glen DrMartinez, GA 30907-2615 · (706) 394-4015
Sole ProprietorYes
Enumeration DateApril 25, 2016
NPI 1548615800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in GA · OT006295
Definition

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.

125 GARY GLEN DR, Martinez, GA 30907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548615800, enumerated as an "individual" on April 25, 2016.

The provider is located at 125 GARY GLEN DR MARTINEZ, GA 30907 and the phone number is (706) 394-4015.

Occupational Therapist with taxonomy code 225X00000X.