P Praxis·MD
● Active Type 1 · Individual

MR. Charles Lewis Shadle, OT

Occupational Therapist·Gainesville, GA· NPI 1336361310 · Enumerated 2007 · 19 years on NPI
Shadle is 1 of 64 occupational therapist providers in Gainesville and 1 of 3276 in Georgia.
NPI age
19 years
Enumerated 2007-05-02
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3276 active occupational therapist providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
743 Spring St Ne
Gainesville, GA 305013715
📞 7705338252
Mailing address
Po Box 1035
Lula, GA 305541035
📞 7708690880

Specialties

  • Occupational Therapist Primary
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    GA license #OT002793 taxonomy 225X00000X

Practice context

Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new occupational therapist provider has been added in Gainesville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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