CERISSA NINA SHAW (OTR) – Occupational Therapist, NPI 1700090917

CERISSA NINA SHAW (OTR) is a healthcare provider. based in Bellevue, Washington. specializing in Occupational Therapist. They hold the professional credentials OTR. They hold a License No. OT61296396 (WA). The NPI Number for CERISSA NINA SHAW (OTR) is 1700090917

Main info

Female
Name
CERISSA NINA SHAW (OTR)
NPI
1700090917
Phone
(941) 661-4637
Address
2202 144TH AVE SE
Enumeration Date
9 May 2007
Last Update Date
28 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for CERISSA NINA SHAW (OTR)

  • 2202 144TH AVE SE

    BELLEVUE, WA 980076220

    Phone: (941) 661-4637

    Type: Location

  • 4166, Tamiami Trail, Port Charlotte, Charlotte County, Florida, 33950, United States

    SUITE A

    PORT CHARLOTTE, FL 339529209

    Phone: (941) 766-1110

    Fax: (941) 766-1190

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 98007)

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Frequently asked questions

What is the standard ID for CERISSA NINA SHAW (OTR) in the U.S.?
In the U.S., CERISSA NINA SHAW (OTR) is identified by NPI 1700090917.
Should I treat CERISSA NINA SHAW (OTR) as an active provider?
Patients and plans typically see CERISSA NINA SHAW (OTR) as active in the national extract.
Which specialty label fits CERISSA NINA SHAW (OTR)?
NPPES ties CERISSA NINA SHAW (OTR) to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to CERISSA NINA SHAW (OTR)?
CERISSA NINA SHAW (OTR) shows a connection to Bellevue, Washington in registry-derived data.
Who maintains CERISSA NINA SHAW (OTR)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.