Shelley Ullom
NPI 1619094737ActiveIndividual· Occupational Therapist· Indianapolis, IN
Occupational Therapist in Indianapolis, Indiana, trained at Ohio State University - College of Optometry (class of 2004). Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1619094737 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Dec 30, 2019 |
| Certified by provider | Dec 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 31004195A | IN |
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 (OH) |
|---|
Education and affiliations
| Medical school | Ohio State University - College of Optometry |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Clarkson Optometry Midwest IncAlliance, OH · 76 clinicians
Other occupational therapists in Indianapolis
- 1003081969
- 1003399692
- 1003912536
- 1053327403
- 1063798981
- 1073115713
- 1114406238
- 1144823592
- 1154072353
- 1215444302
- 1225162944
- 1225785207
All 614 occupational therapists in Indianapolis · All occupational therapists in Indiana