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

Shelly Greenawalt, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1770964678

Shelly Greenawalt, COTA/L is an Occupational Therapy Assistant in Evanston, Illinois. Licensed in California, Illinois, Ohio and South Carolina. Registered with an NPI since 2015.

Licensed in
CA, IL, OH, SC
In the registry since
2015
Specialties on file
4
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

500 Asbury Ave
Evanston, IL 60202-2724
Phone: (847) 316-3320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.003950 (IL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA.04748 (OH)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 2258 (CA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 3049 (SC)

Record details

NPI number1770964678
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 16, 2015

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