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

Shelly Shoup

Individual provider Occupational Therapy Assistant · NPI 1053519462

Shelly Shoup is an Occupational Therapy Assistant in Hazleton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007

Practice location Address checks out

1000 W 27th St
Hazleton, PA 18202-9604
Phone: (570) 454-8888
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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 OP002309L (PA)

Record details

NPI number1053519462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2007
Last updated in NPPESJuly 8, 2007
Mailing address18 Circle Dr, Berwick, PA 18603-5109

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