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

Individual provider Occupational Therapist · NPI 1467082560

Shayne N Lewis, MOT is an Occupational Therapist in Private Practice in Collinsville, Illinois. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
6
Licensed in
IL, MO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1140 Collinsville Crossing Blvd
Collinsville, IL 62234-1880
Phone: (618) 578-5901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4337 Butler Hill Rd, Saint Louis, MO 63128-3712 — (314) 487-7000

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056013632 (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 2020033416 (MO)

Record details

NPI number1467082560
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorNo
NPI enumeratedJanuary 17, 2020
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Collinsville