SUSAN SHANNON (NPI# 1568622942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568622942 |
| Entity Type | Individual |
| Full Name | SUSAN SHANNON |
| Practice Address |
84 High St Medford MA 02155-3844 |
| Practice Telephone | 7813910303 |
| Practice Fax Number | 7813919922 |
| Mailing Telephone | 7813910303 |
| Mailing Fax Number | 7813919922 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3141 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336326586 | Susan Marie Shannon | Registered Nurse | 711 Redfield Ln, Copley, OH 44321-2837 | 2008-01-29 |
| 1245417781 | Susan Lawton Shannon | Licensed Practical Nurse | 147 Cemetary Rd, Ogdensburg, NY 13669-4179 | 2008-01-28 |
| 1881785301 | Susan D Shannon | Advanced Practice Midwife | 50 America Rd, Sharon, CT 06069 | 2006-09-28 |
| 1083172613 | Susan Kay Shannon | Counselor | 3629 S D St, Tacoma, WA 98418-6813 | 2019-03-02 |
| 1588108781 | Susan Veronica Shannon | Nurse Practitioner | 2653 Elm Ave, Suite 200, Long Beach, CA 90806-1652 | 2016-12-07 |
| 1841549573 | Susan Coning Shannon | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2012-09-10 |
| 1073706776 | Susan M Shannon | Occupational Therapist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2007-08-25 |
| 1578785333 | Susan Shannon | Counselor | 1440 Russell Rd, Paoli, PA 19301-1236 | 2007-05-02 |
| 1619194727 | Susan Johnson Shannon | Registered Nurse | 157 Paragon Pkwy, Suite 800, Clyde, NC 28721-9481 | 2007-04-19 |
| 1205052826 | Susan Shannon | Counselor | 1202 W Civic Center Dr # 205, Santa Ana, CA 92703-2252 | 2007-04-18 |
| Street Address |
84 HIGH ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740279298 | Colleen Chesarone | Speech-Language Pathologist | 84 High St, Medford, MA 02155 | 2005-10-18 |
| 1679855605 | Sarah Adams Lancaster | Social Worker | 84 High St, Suite 2a, Medford, MA 02155-3844 | 2011-09-15 |
| 1841439023 | Kimberly Thibault | Occupational Therapist | 84 High St, Medford, MA 02155-3844 | 2009-02-12 |
| 1366681660 | Anne Ciasullo | Physical Therapist | 84 High St, Medford, MA 02155-3844 | 2009-02-10 |
| 1962660571 | Kimberly Gendron | Counselor | 84 High St, Suite 8, Medford, MA 02155-3844 | 2008-05-30 |
| 1942474523 | Perrotta Dental, LLC | Dentist | 84 High St, Suite 203, Medford, MA 02155-3844 | 2008-04-15 |
| 1316132574 | Anthony Giamberardino | Dentist | 84 High St, Medford, MA 02155-3844 | 2007-09-11 |
| 1679770168 | Beth B. Schmitt, Licsw, PC | Counselor | 84 High St, Suite2a, Medford, MA 02155-3844 | 2007-06-28 |
| 1215052592 | Behavioral Health Affiliates, LLC | Counselor | 84 High St, Suite 2a, Medford, MA 02155-3844 | 2007-03-19 |
| 1619003548 | Therese H Venedikian Dmd PC | Dentist | 84 High St, Ste 7, Medford, MA 02155-3844 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| 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 |
|---|---|---|---|---|
| 1962045302 | Margaret Hyland | Occupational Therapist | 18 Lexington Dr, Medford, NJ 08055-8546 | 2019-10-17 |
| 1891258117 | Jennifer Marie Buckley | Occupational Therapist | 3620 Mystic Valley Pkwy Apt E708, Medford, MA 02155-5745 | 2019-04-12 |
| 1497253116 | Jennifer Wellman | Occupational Therapist | 12 Platinum Ct Ste B, Medford, NY 11763-2247 | 2018-01-28 |
| 1316492440 | Heidi J Wills | Occupational Therapist | 724 S Central Ave Ste 107, Medford, OR 97501-7808 | 2016-08-18 |
| 1750736989 | Ivonne Barrios | Occupational Therapist | 7 Georgia Pine Pl, Medford, NY 11763-4107 | 2016-04-25 |
| 1134587595 | Katelyn Campbell | Occupational Therapist | 16 Sanger St Unit 3, Medford, MA 02155-6639 | 2016-02-01 |
| 1568832327 | Vanessa Tocco | Occupational Therapist | 3920 Mystic Valley Pkwy Apt 123, Medford, MA 02155-6900 | 2015-10-05 |
| 1457733420 | Robin Levy | Occupational Therapist | 41 Pitcher Ave, Medford, MA 02155-2106 | 2015-06-25 |
| 1194127589 | Kyle Lynn Rossiter | Occupational Therapist | 2 Townsend Ct, Medford, NJ 08055-9118 | 2014-09-17 |
| 1831510692 | Tanya Loraine Evangelho | Occupational Therapist | 691 Murphy Rd, Suite 236, Accent Care Home Health, Medford, OR 97504 | 2013-12-21 |
| Find all providers in MEDFORD | ||||
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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.