THERESE M SHAPIRO (OT) – Occupational Therapist, NPI 1003935990

THERESE M SHAPIRO (OT) is a healthcare provider. based in Belleville, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 056-007774 (IL). The NPI Number for THERESE M SHAPIRO (OT) is 1003935990

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
THERESE M SHAPIRO (OT)
NPI
1003935990
Phone
(618) 234-9705
Address
2810 FRANK SCOTT PKWY W
Enumeration Date
29 March 2007
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3146861309
Graduation Year
2005 (21 years ago)
PAC ID
7012416480
Group Practice PAC ID
1759668643
Professional Enrollment ID
I20250814002198
Address ID
MO631224629KI524XXDRXX400
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

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for THERESE M SHAPIRO (OT)

  • 2810 FRANK SCOTT PKWY W

    STE 824

    BELLEVILLE, IL 622235007

    Phone: (618) 234-9705

    Fax: (618) 257-0665

    Type: Mailing

  • 524 S CRESCENT DR

    KIRKWOOD, MO 631224629

    Phone: (314) 447-8511

    Fax: (314) 447-8747

    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: 2025-08-14

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
I20250814002198IOccupational Therapist In Private PracticeMOTBD

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 62223)

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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: 1759668643View full group profile
NameSpecialtyState
-MO
Occupational Therapist In Private PracticeMO
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MO

Reviews

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Frequently asked questions

What NPI should I save for THERESE M SHAPIRO (OT)?
Save NPI 1003935990 if you need a stable reference for THERESE M SHAPIRO (OT).
Does this profile mean THERESE M SHAPIRO (OT) is currently active?
Yes — THERESE M SHAPIRO (OT) appears active in the national provider directory.
What kind of provider is THERESE M SHAPIRO (OT)?
The page reflects Occupational Therapist for THERESE M SHAPIRO (OT). Clinical services aligned with this taxonomy classification.
Where does public data place THERESE M SHAPIRO (OT)?
The snapshot lists Belleville, Illinois for THERESE M SHAPIRO (OT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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