SHAMYIAH STONE – Neurorehabilitation Occupational Therapist, NPI 1235818220

SHAMYIAH STONE is a healthcare provider. based in Malden, Missouri. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 123202 (TX). The NPI Number for SHAMYIAH STONE is 1235818220

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SHAMYIAH STONE
NPI
1235818220
Phone
Not provided
Address
504 N EDWARDS ST
Enumeration Date
17 July 2023
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143071288
Graduation Year
2022 (4 years ago)
PAC ID
0749706984
Group Practice PAC ID
6204079163
Professional Enrollment ID
I20250430001614
Address ID
TX752062902DA5850XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for SHAMYIAH STONE

  • 504 N EDWARDS ST

    MALDEN, MO 638631656

    Phone:

    Type: Mailing

  • 6601 HARRIS PKWY

    FORT WORTH, TX 761326108

    Phone: (817) 738-9866

    Type: Location

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: 2025-04-30

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
I20250430001614IOccupational Therapist In Private PracticeTXTBD

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 63863)

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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: 6204079163View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeAL
Physical Therapist In Private PracticeAR
Qualified Speech Language PathologistTX
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeKY
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

Can I cross-check SHAMYIAH STONE using NPI 1235818220?
NPI 1235818220 belongs to SHAMYIAH STONE; compare other details if you need extra assurance.
Is SHAMYIAH STONE still an active registrant?
SHAMYIAH STONE carries an active NPI according to the public dataset.
What clinical focus is listed for SHAMYIAH STONE?
At a glance, SHAMYIAH STONE is tied to Neurorehabilitation Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Missouri is SHAMYIAH STONE registered?
Use Malden, Missouri as the headline location for SHAMYIAH STONE here.
Does SHAMYIAH STONE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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