MEDICARE: SHELLY L VIDAS OT BS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	6904	NC

General Provider Information

NPI Number	:	1912002098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLY L VIDAS OT BS

Provider Business Mailing Address
First Line	:	385 HICKORY RUN LN
Second Line	:
City	:	FRANKLINTON
State	:	NC
Zip	:	27525-8471
Country	:	US
Telephone Number	:	919-930-5112
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 NC-96
Second Line	:
City	:	FRANKLINTON
State	:	NC
Zip	:	27525
Country	:	US
Telephone Number	:	919-528-0033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	05/01/2026

Similar Medicare Providers

1972551927 — FRANKLIN EYE CARE ASSOCIATES OD PA
Practice Location Address:

3366 US 1 NORTH BYPASS
FRANKLINTON, NC
27525

Practice Phone: 919-494-2375
Practice Fax: 919-494-5805

1215976436 — AMEDISYS HOSPICE, LLC
Practice Location Address:

3320 US 1 HWY , SUITE B
FRANKLINTON, NC
27525-8439

Practice Phone: 919-494-3773
Practice Fax: 919-249-4258

1124138813 — KERR DRUG INC
Practice Location Address:

3422 US HWY 1
FRANKLINTON, NC
27525

Practice Phone: 919-494-7715
Practice Fax: 919-494-7803

1912089434 — SMARTCARE OPERATIONS GROUP, INC.
Practice Location Address:

3422 US HWY 1
FRANKLINTON, NC
27525

Practice Phone: 919-494-8190
Practice Fax: 919-494-8193

1811048358 — MRS. ASHLEY HAITH SALAZAR BA
Practice Location Address:

2488 PATTON LN
FRANKLINTON, NC
27525-9472

Practice Phone: 252-767-1059
Practice Fax: 919-692-1119

1417176991 — LILY OF THE VALLEY, INC.
Practice Location Address:

4107 MAYNARD CIR
FRANKLINTON, NC
27525-7576

Practice Phone: 919-528-7285
Practice Fax: 919-528-7285

Directions to “ SHELLY L VIDAS OT BS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.