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

Mr. Charles Lewis Shadle, OT

Individual provider Occupational Therapist · NPI 1336361310

Mr. Charles Lewis Shadle, OT is an Occupational Therapist in Gainesville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 533-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT002793 (GA)

Record details

NPI number1336361310
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 8, 2007

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