CARLY SHANNON (NPI# 1053794842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053794842 |
| Entity Type | Individual |
| Full Name | CARLY SHANNON |
| Practice Address |
811 East Central Road Arlington Heights IL 60056 |
| Mailing Address |
3703 West Lake Ave Suite 200 Glenview IL 60026-1223 |
| Practice Telephone | 8479564079 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.009125 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407001258 | Carly Blake Shannon | Counselor | 1433 Fairfield Dr, Austin, TX 78758-7244 | 2008-11-20 |
| Street Address |
811 EAST CENTRAL ROAD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649829 | Blocki and Bashford Dental, LLC | Dentist | 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 | 2020-01-30 |
| 1740745934 | Luminate Therapy Group of Illinois, LLC | Behavioral Analyst | 580 Slawin Court, Mt. Prospect, IL 60056 | 2019-02-01 |
| 1952884009 | Erin Kathleen Neal | Social Worker | 1550 Bishop Court, Mount Prospect, IL 60056 | 2018-09-13 |
| 1215431028 | Teandra Gelemer Delancy | Social Worker | Kenneth Young Center, 1585 West Dempster St, Mt. Prospect, IL 60056 | 2018-03-19 |
| 1578071650 | Azk Transportation Inc | Non-emergency Medical Transport (VAN) | 415 E Prospect Ave, 3c, Mount Prospect, IL 60056 | 2018-01-11 |
| 1275059859 | Sara Tyburski | Psychologist | 701 W Gregory, Mount Prospect, IL 60056 | 2017-08-16 |
| 1487197257 | Roma R D'silva | General Practice | 608 South Noah Terrace, Mount Prospect, IL 60056 | 2016-11-29 |
| 1568918159 | Georgeshia Norwood | Social Worker | 1820 West Dempster, Mount Prospect, IL 60056 | 2016-09-01 |
| 1568919025 | Scott G Smoron Dds Msd Ltd | Dentist | 421 W. Prospect Ave., Mount Prospect, IL 60056 | 2016-09-01 |
| 1568918365 | Kathleen Huttner | Counselor | 1820 W. Dempser, Kenneth Young Center, Mount Prospect, IL 60056 | 2016-08-31 |
| Find all providers in zip 60056 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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 World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366909491 | Kelli Iovino | Occupational Therapist | 1638 N Douglas Ct, Arlington Heights, IL 60004-3979 | 2019-02-25 |
| 1477025864 | Molly Elizabeth Maloney | Occupational Therapist | 13 S Gibbons Ave, Arlington Heights, IL 60004-6511 | 2018-12-22 |
| 1770053381 | Katie Diane Okamoto | Occupational Therapist | 1403 E Flentie Ln, Arlington Heights, IL 60004-1739 | 2018-11-27 |
| 1184089542 | Danielle Alessi | Occupational Therapist | 633 E Independence Ct, Arlington Heights, IL 60005-4282 | 2015-12-29 |
| 1427420835 | Barry Brenner | Occupational Therapist | 115 S Prindle Ave, Arlington Heights, IL 60004-6833 | 2015-10-25 |
| 1821415928 | Dagmara Magdalena Szewerniak | Occupational Therapist | 10 N Regency Dr E, Arlington Heights, IL 60004-6640 | 2014-03-26 |
| 1679813455 | Rebecca Julia Dahm | Occupational Therapist | 3105 N. Wilke Road, Arlington Heights, IL 60004-1450 | 2013-02-15 |
| 1891067278 | Elaine Renee Panek | Occupational Therapist | 3926 N Galena Ave, Arlington Heights, IL 60004-1202 | 2012-02-01 |
| 1780953513 | Meribeth Marie Cassidy | Occupational Therapist | 927 N Haddow Ave, Arlington Heights, IL 60004-5653 | 2011-12-22 |
| 1336467471 | Laura A Czopek | Occupational Therapist | 2532 N Hickory Ln, Arlington Heights, IL 60004-2648 | 2010-05-13 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60056 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.