BONNIE LYNN SHELLEY (OT) – Hand Occupational Therapist, NPI 1154426856

BONNIE LYNN SHELLEY (OT) is a healthcare provider. based in Golden valley, Minnesota. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 100336 (MN). The NPI Number for BONNIE LYNN SHELLEY (OT) is 1154426856

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE LYNN SHELLEY (OT)
NPI
1154426856
Phone
(952) 512-5600
Address
4200 DAHLBERG DR STE 300
Enumeration Date
14 September 2006
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524567000
Graduation Year
1993 (33 years ago)
PAC ID
6204881527
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20050318000568
Address ID
MN554351706ED4010XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

603 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for BONNIE LYNN SHELLEY (OT)

  • 4200 DAHLBERG DR STE 300

    GOLDEN VALLEY, MN 554224841

    Phone: (952) 512-5600

    Type: Mailing

  • 4010 W 65TH ST

    EDINA, MN 554351706

    Phone: (952) 456-7000

    Fax: (952) 456-7001

    Type: Location

  • 6363, France Avenue South, Edina, Hennepin County, Minnesota, 55410, United States

    #105

    EDINA, MN 554352129

    Phone: (952) 924-1520

    Type: Location

  • 2112, Harriet Avenue South, Whittier, Minneapolis, Hennepin County, Minnesota, 55405, United States

    #2

    MINNEAPOLIS, MN 554053254

    Phone:

    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: 2005-03-18

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
I20050318000568IOccupational Therapist In Private PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19737$0
97140Therapy procedure using manual technique, each 15 minutes16333$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11226$0
97535Training for self-care or home management, each 15 minutes4124$0
97530Therapy procedure using functional activities3513$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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Provider's Procedures

BONNIE LYNN SHELLEY (OT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23345

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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for BONNIE LYNN SHELLEY (OT)?
Save NPI 1154426856 if you need a stable reference for BONNIE LYNN SHELLEY (OT).
Is BONNIE LYNN SHELLEY (OT)'s NPI currently valid?
The extract we use shows BONNIE LYNN SHELLEY (OT) as active.
What does BONNIE LYNN SHELLEY (OT) treat or focus on?
Patients typically see BONNIE LYNN SHELLEY (OT) under the specialty Hand Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does BONNIE LYNN SHELLEY (OT) practice in Minnesota?
You will see Golden Valley, Minnesota on file for BONNIE LYNN SHELLEY (OT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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