Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE DAVID NIBLEY
ActiveSHANE DAVID NIBLEY is a Occupational Therapy Assistant healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1255200846 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1255200846
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2025 (0.60151104913416 yrs)
- Last Updated
- Dec 11, 2025
Practice Information
- Address
-
3079 HARRISON AVESOUTH LAKE TAHOE, CA, 961507976Browse CA providers · Browse ZIP 96150
- Phone
- 5309576254
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Day Training/Habilitation
Other Occupational Therapy Assistant Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| EDWINA BAILEY | RADT | 1700603909 |
| COURTNEY WOOD | — | 1154128056 |
| KATRINA GABRIELLE JOY | RN | 1215809199 |
| DOREEN R HILL | — | 1699636217 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.