Shannon Rebecca Gaetke, OTD, OTR/L
NPI 1629311618ActiveIndividual· Occupational Therapist, Pediatrics· Goose Creek, SC
Occupational Therapist, Pediatrics (OTD, OTR/L) in Goose Creek, South Carolina, licensed in SC, with an NPI issued in March 2013.
Overview
| NPI | 1629311618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTD, OTR/L |
| Sole proprietor | No |
| NPI issued | Mar 28, 2013 |
| Last updated in NPPES | Mar 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Pediatrics Primary | 225XP0200X | 4091 | SC |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pediatric occupational therapists in Goose Creek
- 1003953514
- 1912432956
- 1588719249
- 1770780991
- 1144571738
- 1437624897