SHANNON BREEN (NPI# 1174979702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174979702 |
| Entity Type | Individual |
| Full Name | SHANNON BREEN |
| Practice Address |
27 Murray Ave Waterford NY 12188-1625 |
| Practice Telephone | 5188171491 |
| Mailing Telephone | 5188171491 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 347233 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336695147 | Shannon Breen | Licensed Practical Nurse | 5607 31st Ave, Woodside, NY 11377-1527 | 2016-08-31 |
| 1730541194 | Shannon Breen | Social Worker | 1209 E Park Cir, Tampa, FL 33604-4334 | 2016-03-24 |
| 1780138909 | Shannon Breen | Case Manager/Care Coordinator | 1 Davis Sq, Somerville, MA 02144-2904 | 2016-08-04 |
| Street Address |
27 MURRAY AVE |
| City | WATERFORD |
| State | NY |
| Zip Code | 12188-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851700322 | Kelly Bly | Student in an Organized Health Care Education/Training Program | 41 Lower Newtown Rd, Waterford, NY 12188 | 2014-08-08 |
| 1841363009 | Amita N Nair | Internal Medicine | 158 Saratoga Ave., Waterford Health Center, Waterford, NY 12188 | 2006-11-16 |
| 1588738330 | Daniel Cheng | Pediatrics | 110 3rd St, Waterford, NY 12188 | 2006-11-20 |
| 1306935895 | Mohammed Ismail Md PC | Internal Medicine | 46 3rd St, Waterford, NY 12188 | 2006-10-12 |
| 1740260298 | Elise C. Richtol | Podiatrist | 3 Partridge Ln, Waterford, NY 12188-1091 | 2006-01-20 |
| 1033362579 | Rebecca Hyde Miles | Physical Therapist | 13 Copperfield Dr, Waterford, NY 12188-1093 | 2008-10-28 |
| 1457638264 | Denise Barbara Kochon | Licensed Practical Nurse | 123 Guideboard Rd Apt C, Waterford, NY 12188-1107 | 2011-11-08 |
| 1578568556 | Edward P Franks | Ophthalmology | 22a Church Hill Rd, Waterford, NY 12188-1124 | 2005-06-16 |
| 1720400732 | Leigh Anne Galioto | Speech-Language Pathologist | 4 Anchor Dr, Waterford, NY 12188-1149 | 2014-01-09 |
| 1952765471 | Alexandra Lynn Williams | Speech-Language Pathologist | 8 Lighthouse Dr, Waterford, NY 12188-1163 | 2016-04-11 |
| Find all providers in zip 12188 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568857381 | Terri Runser | Occupational Therapy Assistant | 10339 Lake Pleasant Rd, Waterford, PA 16441-2533 | 2015-03-30 |
| 1598178949 | Rebecca Gwin | Occupational Therapy Assistant | 3368 Warringham Ave, Waterford, MI 48329-3054 | 2014-06-03 |
| 1356686992 | Kimberlie Ann Payne | Occupational Therapy Assistant | 13209 Fountain Dr, Waterford, CA 95386-8858 | 2012-12-08 |
| 1356885545 | Ashley Skadra | Occupational Therapy Assistant | 11 Lawrence St, Waterford, NY 12188-1803 | 2016-12-07 |
| 1477939072 | Melissa Rivera | Occupational Therapy Assistant | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2015-08-05 |
| 1407232002 | Ann Suplicki | Occupational Therapy Assistant | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2015-08-05 |
| 1245616382 | Karen Marquardt | Occupational Therapy Assistant | 301 Rope Ferry Rd, Waterford, CT 06385-2610 | 2015-07-30 |
| 1043610918 | Sommer V Collins | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-08-28 |
| 1568861078 | Daniel Mallory | Occupational Therapy Assistant | 5601 Hatchery Rd, 248) 674-9292, Waterford, MI 48329-3451 | 2014-08-20 |
| 1346663630 | Lisa Gorski | Occupational Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-01-23 |
| Find all providers in WATERFORD | ||||
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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.