SHELLEY J PINE (O.T.) – Occupational Therapist, NPI 1053436592

SHELLEY J PINE (O.T.) is a healthcare provider. based in Denver, Colorado. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials O.T.. They hold a License No. 970184 (CO). The NPI Number for SHELLEY J PINE (O.T.) is 1053436592

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
SHELLEY J PINE (O.T.)
NPI
1053436592
Phone
(615) 778-4066
Address
2490 W 26th Ave
Enumeration Date
21 March 2007
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078282101
Graduation Year
1987 (39 years ago)
PAC ID
7416302948
Group Practice PAC ID
8224566138
Professional Enrollment ID
I20231018001645
Address ID
ME041022603PO33XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

426 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for SHELLEY J PINE (O.T.)

  • 2490 W 26th Ave

    Suite A-299

    Denver, CO 802115314

    Phone: (615) 778-4066

    Type: Location

  • 720 COOL SPRINGS BLVD

    SUITE 300

    FRANKLIN, TN 370672626

    Phone: (615) 778-4066

    Fax: (615) 778-9114

    Type: Mailing

  • 2490 W 26TH AVE

    SUITE A-299

    DENVER, CO 802115314

    Phone: (615) 778-4066

    Type: Location

  • 33 SEWALL ST

    PORTLAND, ME 041022603

    Phone: (207) 828-2101

    Fax: (207) 553-7166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231018001645IOccupational Therapist In Private PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224566138View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCO
Nurse PractitionerME
Orthopedic SurgeryMA
Sports MedicineME
Hand Surgery, Orthopedic SurgeryME
Physician AssistantNH
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

How do I look up SHELLEY J PINE (O.T.) by NPI?
Use NPI 1053436592 when you need to reference SHELLEY J PINE (O.T.) in forms, claims, or directories.
Is SHELLEY J PINE (O.T.) currently active in the NPI registry?
CMS-published data lists SHELLEY J PINE (O.T.) as an active registrant.
What field does SHELLEY J PINE (O.T.) work in?
You can think of SHELLEY J PINE (O.T.) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does SHELLEY J PINE (O.T.) practice in Colorado?
You will see Denver, Colorado on file for SHELLEY J PINE (O.T.) alongside any extra practice locations.
How can I contact SHELLEY J PINE (O.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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