SHANE EARLEY – Occupational Therapist, NPI 1043803026

SHANE EARLEY is a healthcare provider. based in Navarre, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. OT21519 (FL). The NPI Number for SHANE EARLEY is 1043803026

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANE EARLEY
NPI
1043803026
Phone
(850) 939-3944
Address
7552 NAVARRE PKWY UNIT 32
Enumeration Date
19 February 2021
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507416715
Graduation Year
2020 (6 years ago)
PAC ID
4587189824
Group Practice PAC ID
6305258013
Professional Enrollment ID
I20250418000688
Address ID
FL325476745FO1001XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for SHANE EARLEY

  • 7552 NAVARRE PKWY UNIT 32

    NAVARRE, FL 325667308

    Phone: (850) 939-3944

    Fax: (850) 939-3945

    Mailing address matches the actual address.

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: 2025-04-18

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
I20250418000688IOccupational Therapist In Private PracticeFLTBD

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 32566)

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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: 6305258013View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeLA
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does SHANE EARLEY have a public NPI I can cite?
Public records show SHANE EARLEY under NPI 1043803026.
Is SHANE EARLEY currently accepting referrals based on NPI status?
Registry metadata lists SHANE EARLEY as active.
What type of care does SHANE EARLEY provide?
SHANE EARLEY's profile centers on Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to SHANE EARLEY?
SHANE EARLEY shows a connection to Navarre, Florida in registry-derived data.
Who maintains SHANE EARLEY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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