Annmarie Lenae Shackelford, OT
NPI 1457083701ActiveIndividual· Occupational Therapist· Lees Summit, MO
Occupational Therapist (OT) with Legacy Healthcare Services Inc, practicing in Lees Summit, Missouri. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1457083701 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | No |
| NPI issued | Jun 27, 2022 |
| Last updated in NPPES | Jun 27, 2022 |
| Certified by provider | Jun 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MO) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
Other occupational therapists in Lees Summit
- 1013553429
- 1255199543
- 1396828083
- 1427327188
- 1720859978
- 1871928580
- 1851182232
- 1700486255
- 1326716564
- 1821321027
- 1255639415
- 1437355088
All 54 occupational therapists in Lees Summit · All occupational therapists in Missouri