SHANNON FOGARTY (NPI# 1518261924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518261924 |
| Entity Type | Individual |
| Full Name | SHANNON FOGARTY |
| Credential | OT |
| Practice Address |
3050 Brown Ave Mount Dora FL 32757-3453 |
| Mailing Address |
355 Lakepointe Dr 201 Altamonte Springs FL 32701-5897 |
| Practice Telephone | 3523834161 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 14130 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508801622 | Shannon M Fogarty | Nurse Practitioner | 1055 N Mayfair Rd, Wauwatosa, WI 53226 | 2006-06-20 |
| Street Address |
3050 BROWN AVE |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922162163 | Avante At Mt. Dora, Inc. | Skilled Nursing Facility | 3050 Brown Ave, Mount Dora, FL 32757-3453 | 2006-12-21 |
| 1083998389 | Hollyce Lauren Rosenblum | Occupational Therapy Assistant | 3050 Brown Ave, Mount Dora, FL 32757-3453 | 2011-10-05 |
| 1760781769 | Rachel Anne Smith | Physical Therapy Assistant | 3050 Brown Ave, Mount Dora, FL 32757-3453 | 2011-03-17 |
| 1467750968 | Dennis David Martin | Physical Therapy Assistant | 3050 Brown Ave, Mount Dora, FL 32757-3453 | 2011-03-08 |
| 1730487232 | Lynne Renee Wiley | Occupational Therapy Assistant | 3050 Brown Ave, Mount Dora, FL 32757-3453 | 2011-03-08 |
| 1841506300 | Dione Norwood | Occupational Therapy Assistant | 3050 Brown Ave, Mount Dora, FL 32757-3453 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
| 1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
| 1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
| 1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
| 1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
| 1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
| 1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
| 1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
| 1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
| 1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
| Find all providers in zip 32757 | ||||
| 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 |
|---|---|---|---|---|
| 1679008874 | Allison Clare Mcgovern | Occupational Therapist | 108 N Simpson St, Mount Dora, FL 32757-5748 | 2017-04-25 |
| 1184870263 | Susan Skees Hermes | Occupational Therapist | 3865 Branch Ave, Mount Dora, FL 32757-4507 | 2008-08-08 |
| 1669097135 | Amy Lynn Protheroe | Occupational Therapist | 2725 Robie Ave, Mount Dora, FL 32757-9619 | 2020-06-10 |
| 1861810087 | Adrian Manguit | Occupational Therapist | 255 Waterman Ave, Mount Dora, FL 32757-9530 | 2014-04-03 |
| 1609293224 | Amy Cunningham | Occupational Therapist | 255 Waterman Ave, Mount Dora, FL 32757-9530 | 2014-03-20 |
| 1023256039 | Karen S Kyle | Occupational Therapist | 2725 Robie Ave, Suite 2013, Mount Dora, FL 32757-9619 | 2009-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851142 | Daniela Angela Eynaudi | Occupational Therapist | 140 Lakeview Dr Apt 202, Weston, FL 33326-2518 | 2020-11-08 |
| 1598366643 | Flavia Hendrickson | Occupational Therapist | 11142 Harbour Springs Cir, Boca Raton, FL 33428-1245 | 2020-11-05 |
| 1821699042 | Kelly Louise Crocker | Occupational Therapist | 2730 Blossom Dr, Sarasota, FL 34239-4713 | 2020-11-04 |
| 1578164661 | Pathways Therapy Services LLC | Occupational Therapist | 4417 13th St # 159, Saint Cloud, FL 34769-6724 | 2020-11-04 |
| 1770184889 | Khojem Husamuddin Vora | Occupational Therapist | 18004 Lanai Isle Dr, Tampa, FL 33647-3377 | 2020-11-04 |
| 1891396164 | Luke Alan Thompson | Occupational Therapist | 99 Carriage Creek Way, Ormond Beach, FL 32174-6784 | 2020-11-03 |
| 1659972958 | Nikesha Dave | Occupational Therapist | 221 W Hallandale Beach Blvd Ste 113, Hallandale Beach, FL 33009-5441 | 2020-11-03 |
| 1407457963 | Green Thoughts Therapy LLC | Occupational Therapist | 14972 Guava Bay Dr, Winter Garden, FL 34787-4156 | 2020-11-02 |
| 1801497334 | Emily E Nichols | Occupational Therapist | 613 Squire Cir Apt 101, Naples, FL 34104-6561 | 2020-11-02 |
| 1093315707 | Inis Lulolli | Occupational Therapist | 6850 Old Banyan Way, Naples, FL 34109-7824 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT DORA |
| Zip Code | 32757 |
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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.