SHANNON BERRY (NPI# 1295057818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295057818 |
| Entity Type | Individual |
| Full Name | SHANNON BERRY |
| Practice Address |
420 Gaffney Dr Watertown NY 13601-1823 |
| Practice Telephone | 3157882730 |
| Mailing Telephone | 3157882730 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2011-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 007440-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 016569-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720401714 | Shannon D. Berry | Speech-Language Pathologist | 1231 Harbor River Dr, Memphis, TN 38103-8980 | 2014-01-27 |
| 1922141555 | Shannon Lee Jett Berry | Speech-Language Pathologist | 218 N Florida St, Suite 3, Bushnell, FL 33513-6150 | 2007-02-14 |
| 1679174643 | Shannon Berry | Pharmacist | 1712 E Ohio St, Clinton, MO 64735-2402 | 2020-11-05 |
| 1205253267 | Shannon Berry | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-27 |
| 1770719668 | Shannon Gammill Berry | Emergency Medicine | 1635 Marvel St, Coushatta, LA 71019-9022 | 2009-06-05 |
| 1649381245 | Shannon Berry | Advanced Practice Midwife | 100 Brewster Blvd, Medical Staff Services, Camp Lejeune, NC 28547-2538 | 2006-08-31 |
| 1013909811 | Shannon M Berry | Internal Medicine | 295 Posada Ln, Suite D, Templeton, CA 93465-4055 | 2005-08-17 |
| Street Address |
420 GAFFNEY DR |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083764864 | Jennifer Brink | Physical Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2007-01-12 |
| 1528608668 | Emily Howell | Occupational Therapy Assistant | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2020-01-07 |
| 1831751221 | Ashley Margaret Dobmeier | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-07-05 |
| 1154987337 | Michelle Anne Wilder | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-05-14 |
| 1205332723 | Julia Wise Groleau | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-04-03 |
| 1396243465 | Mary Ford-waterman | Behavior Technician | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-24 |
| 1275040750 | Jennifer Rose Barse | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-05 |
| 1073032652 | Erin Marie Ross | Speech-Language Pathologist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2017-09-14 |
| 1184174385 | Merrica Baldwin | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-10-12 |
| 1568919561 | Jennifer Wagstaff | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1760089163 | Progressive Therapy LLC | Occupational Therapist | 1027 2nd St Nw, Watertown, SD 57201-1301 | 2020-10-08 |
| 1275191645 | Calicia Jean Moss | Occupational Therapist | 6157 Greenvale Rd, Watertown, TN 37184-3812 | 2019-05-31 |
| 1992282859 | Alyssa Nicole Tripi | Occupational Therapist | 123 Hospital Dr Ste 1008, Watertown, WI 53098-3320 | 2018-07-24 |
| 1730622390 | Allison Blake | Occupational Therapist | 319 Lovley Dr, Watertown, CT 06795-3162 | 2016-11-29 |
| 1548711542 | Marnie Hoftiezer | Occupational Therapist | 601 11th St Ne, Watertown, SD 57201-1833 | 2016-10-14 |
| 1184086076 | Lauren Willcox | Occupational Therapist | 200 Lewis Ave S Ste 210, Watertown, MN 55388-4547 | 2016-03-22 |
| 1093104812 | Lisa D Cooley | Occupational Therapist | 20104 Ny State Rte 3, Watertown, NY 13601-5560 | 2015-01-16 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1376895292 | Jeanie Marie Stockland | Occupational Therapist | 531 7th St Ne, Watertown, SD 57201-1848 | 2012-10-03 |
| 1881940120 | Kimberly Keegan | Occupational Therapist | 340 Bryant Rd, Watertown, CT 06795-1119 | 2012-07-24 |
| Find all providers in WATERTOWN | ||||
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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.