Provider Demographics
NPI:1174962336
Name:KERKAR, SHILPA P (OTR/L)
Entity type:Individual
Prefix:
First Name:SHILPA
Middle Name:P
Last Name:KERKAR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SHILPA
Other - Middle Name:
Other - Last Name:DHAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:7105 SENECA FALLS LOOP
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-2214
Mailing Address - Country:US
Mailing Address - Phone:512-542-4389
Mailing Address - Fax:
Practice Address - Street 1:2603 JONES RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745
Practice Address - Country:US
Practice Address - Phone:512-892-7226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111603225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist