ERICA MARIE O'SHALL — NPI 1104198639 (Licensed & Credentialed Occupational Therapy Assistant in BOSTIC, NC)

CMS-1500 Box 24J / 33a • NPI

1104198639

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

224Z00000X

Licensed & Credentialed Occupational Therapy Assistant

Box 32 Service Location & ZIP+4

503 SOUTH MOUNTAIN RD, BOSTIC, NC, 28018-0577

✓ 9-Digit EDI 837 ZIP+4 (28018-0577)

Practice Phone & Referral Fax

(321) 652-4378

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104198639 (ERICA MARIE O'SHALL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104198639` (NPI-1 Individual Practitioner)
Provider / Legal Name	ERICA MARIE O'SHALL
Plain-English Specialty	Licensed & Credentialed Occupational Therapy Assistant NUCC Code: `224Z00000X` (Occupational Therapy Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	503 SOUTH MOUNTAIN RD, BOSTIC, NC, 28018-0577
Practice Telephone / Fax	Tel: (321) 652-4378
Administrative Mailing Address	PO BOX 577, BOSTIC, NC, 28018-0577
Enumeration & Last Sync	Enumerated: 2012-01-30 \| CMS Record Updated: 2012-01-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

503 SOUTH MOUNTAIN RD, BOSTIC, NC, 28018-0577

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Plain-English Taxonomy & CMS Crosswalk (224Z00000X)

What Does Taxonomy Code 224Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224Z00000X translates to:
"Licensed & Credentialed Occupational Therapy Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Occupational Therapy Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ERICA MARIE O'SHALL)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`224Z00000X` — Occupational Therapy Assistant Plain English: Licensed & Credentialed Occupational Therapy Assistant	State: NC \| License: `7063` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ERICA MARIE O'SHALL (NPI #1104198639)