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

Mrs. Mary Beth Shepardson, OTR

Individual provider Occupational Therapist · NPI 1790856532

Mrs. Mary Beth Shepardson, OTR is an Occupational Therapist in Private Practice in St Johnsville, New York. Qualified in 1993, 33 years ago. Practices with Nova Rehab PT OT PLLC, a 16-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

7 Timmerman Ave
St Johnsville, NY 13452-1017
Phone: (518) 568-5037
Fax: (518) 568-5477
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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 006224-1 (NY)

Record details

NPI number1790856532
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Nova Rehab Pt Ot Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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