Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Amanda Shirk

Individual provider Occupational Therapist · NPI 1811794852

Katie Amanda Shirk is an Occupational Therapist in Private Practice in Melbourne, Florida. Qualified in 2024, 2 years ago. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025

Practice location Address checks out

2080 W Eau Gallie Blvd Ste A
Melbourne, FL 32935-3185
Phone: (407) 694-3603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT25955 (FL)

Record details

NPI number1811794852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address741 Cobblestone Ln Ne, Palm Bay, FL 32905-5427

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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