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

Shanelle Bispham

Individual provider Occupational Therapy Assistant · NPI 1770415853

Shanelle Bispham is an Occupational Therapy Assistant in Bayonne, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

231 Avenue C # 2L
Bayonne, NJ 07002-2550
Phone: (201) 540-6551
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 011831 (NY)

Record details

NPI number1770415853
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address231 Avenue C # 2l, Bayonne, NJ 07002-2550

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