Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phillip Scott Shackelford, OTR/L

Individual provider Occupational Therapist · NPI 1548615800

Phillip Scott Shackelford, OTR/L is an Occupational Therapist in Martinez, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

125 Gary Glen Dr
Martinez, GA 30907-2615
Phone: (706) 394-4015
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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 OT006295 (GA)

Record details

NPI number1548615800
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedApril 25, 2016
Last updated in NPPESApril 25, 2016

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