Shelly Mack

Public-record details

Address

3513 Teton Dr Apt Suite, Fullerton, CA 92835

Phone

(714) 335-0644

Listed under

Pediatric occupational therapy

NPI

1730949215

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Occupational Therapist, Pediatrics (225XP0200X)

License number on NPI record

4322 (CA)

NPI first issued

Mar 20, 2024

NPI record last updated

Mar 20, 2024

NPI 1730949215 is active in the federal NPPES registry (CMS); license 4322 (CA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

Public record, not an endorsement. This listing was compiled from public records as of 2026-09-30 and may be incomplete or out of date. Pediatric Therapy Finder does not vet, employ, recommend or guarantee therapy practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Therapy Finder is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric occupational therapists help children with fine motor skills, self-care, sensory processing, handwriting and feeding.

View NPI 1730949215 in the official registry ↗