Active NPIIndividual providerSole proprietor

Shanelle Bispham

Occupational Therapy Assistant in Bayonne, New Jersey

NPI Number1770415853
Practice location
231 Avenue C # 2L, Bayonne, NJ 07002-2550
Fax
—
Last updated
June 2, 2026

Shanelle Bispham is an Occupational Therapy Assistant based in Bayonne, NJ. Shanelle Bispham practices in Bayonne, NJ. The NPI Number for Shanelle Bispham is 1770415853 and holds a License No. 011831 (NY). The current practice location address for Shanelle Bispham is 231 Avenue C # 2L, Bayonne, NJ 07002-2550 and can be reached out via phone at 201-540-6551.

Provider Profile Details

NPI Number
1770415853
Provider Name
Shanelle Bispham
Provider Entity Type
Individual
Gender
Female
Address
231 Avenue C # 2L, Bayonne, NJ 07002-2550
Phone Number
201-540-6551
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 2, 2026
Last Update Date
June 2, 2026
Certification Date
June 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
231 Avenue C # 2L
Bayonne, NJ 07002-2550
Zip
07002-2550
Phone Number
201-540-6551
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
231 Avenue C # 2L
Bayonne, NJ 07002-2550
City
Bayonne
State
NJ
Zip
07002-2550
Phone Number
201-540-6551

License Information

License Number
011831
License State
NY
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shanelle Bispham?

The NPI number of Shanelle Bispham is 1770415853. It was assigned on June 2, 2026 and is currently active in the NPPES registry.

What is the specialty of Shanelle Bispham?

Shanelle Bispham is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 011831.

Where does Shanelle Bispham practice?

The practice location is 231 Avenue C # 2L, Bayonne, NJ 07002-2550. The office can be reached at 201-540-6551 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770415853 directly on the NPPES registry website.

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