SHANNON LYLE PETERSON (NPI# 1588212161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588212161 |
| Entity Type | Individual |
| Full Name | SHANNON LYLE PETERSON |
| Credential | OTA |
| Practice Address |
1870 Pisgah Dr Hendersonville NC 28791-3759 |
| Mailing Address |
212 S Hillandale Dr East Flat Rock NC 28726-2610 |
| Practice Telephone | 8286939796 |
| Practice Fax Number | 8286931321 |
| Mailing Telephone | 8286965949 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 8145 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975683 | Shannon Peterson | Chiropractor | N275 Military Rd, Suite 2, Sherwood, WI 54169-9603 | 2006-06-28 |
| 1659982445 | Shannon Elise Peterson | Counselor | 908 N Howard Ave, Grand Island, NE 68803-3556 | 2020-08-14 |
| 1356858393 | Shannon Peterson | Case Manager/Care Coordinator | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-12-29 |
| 1215345210 | Shannon Peterson | Nurse Practitioner | 1501 E 10th St, Atlantic, IA 50022-1936 | 2014-07-23 |
| 1588002984 | Shannon Peterson | Pharmacist | 324 Edgewood Rd Nw, Cedar Rapids, IA 52405-3650 | 2013-06-06 |
| 1912253360 | Shannon Michelle Peterson | Massage Therapist | 11811 Mukilteo Speedway, 200, Mukilteo, WA 98275-5442 | 2012-08-02 |
| 1699975235 | Shannon Conley Peterson | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2007-07-23 |
| 1013127828 | Shannon Lynn Peterson | Registered Nurse | 1200 W Speedway Blvd, Tucson, AZ 85745-2326 | 2007-05-23 |
| 1972626521 | Shannon Shaffer Peterson | Marriage & Family Therapist | 4000 W Metropolitan Dr Ste 401, Orange, CA 92868-3506 | 2007-04-09 |
| Street Address |
1870 PISGAH DR |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28791-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326169285 | Ssc Hendersonville Operating Company LLC | Custodial Care Facility | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2007-04-02 |
| 1003464017 | John V Walker | Physical Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-09-03 |
| 1306494711 | Beth Lynn Galloway | Occupational Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-08-28 |
| 1134786684 | Stacey Leigh Gresock | Speech-Language Pathologist | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-05-21 |
| 1205493889 | Angela Ruggles | Speech-Language Pathologist | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-05-20 |
| 1265997605 | Nicole Jones Wagner | Physician Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064085 | Daniel Mick | Chiropractor | 1721 Brevard Rd., Hendersonville, NC 28791 | 2016-03-02 |
| 1215393194 | Mark Claar | Physician Assistant | 2315 Asheville Hwy Ste 20, Hendersonville, NC 28791 | 2016-01-08 |
| 1528400777 | Heather L Strauss | Physician Assistant | 800 North Justice St, Henderson Co Hosp Corp Dba Pardee Medical Associates, Hendersonville, NC 28791 | 2013-07-29 |
| 1891029708 | Sara Brady Fraboni | Pharmacist | 1148 Asheville Highway, Asheville, NC 28791 | 2009-09-24 |
| 1578730362 | Edward Frederick Block Iv | Acupuncturist | 2024 Asheville Hwy, Suite H, Hendersonville, NC 28791 | 2008-05-12 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1184836223 | Fred Hamilton Rindge Iv | Chiropractor | 619 Oakland St, Hendersonville, NC 28791 | 2007-05-03 |
| 1912022989 | Laurel Park Medical Centre Pharmacy | Pharmacist | 1881 Pisgah Dr., Hendersonville, NC 28791 | 2007-03-20 |
| 1538236153 | Elizabeth N Lima | Psychologist | 709 North Justice Street, Suite B, Hendersonville, NC 28791 | 2006-11-29 |
| 1144394123 | Kenneth L Merritt Jr. | Dentist | 687 B Blythe St Ct, Hendersonville, NC 28791 | 2006-11-20 |
| Find all providers in zip 28791 | ||||
| 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 |
|---|---|---|---|---|
| 1770148793 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 131 Saundersville Rd Ste 160, Hendersonville, TN 37075-8940 | 2019-05-06 |
| 1164928297 | Hazel Kaye P Littrell | Occupational Therapy Assistant | 701 Oak Terrace Ln, Hendersonville, NC 28791-3232 | 2018-04-05 |
| 1316318314 | Charla Fox | Occupational Therapy Assistant | 135 Louann Ln, Hendersonville, TN 37075-2505 | 2015-10-15 |
| 1730436437 | Sharon Rodman | Occupational Therapy Assistant | 100 Robin St, Hendersonville, NC 28739-5538 | 2012-08-13 |
| 1881858421 | Star Butler | Occupational Therapy Assistant | 1326 Valmont Dr, Hendersonville, NC 28791-3240 | 2008-07-14 |
| 1306494711 | Beth Lynn Galloway | Occupational Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-08-28 |
| 1285115253 | Jamie Lea Barahona | Occupational Therapy Assistant | 370 Old Shackle Island Rd, Hendersonville, TN 37075-3082 | 2018-08-27 |
| 1942790209 | Lindsey Alexander Conley | Occupational Therapy Assistant | 1000 W Allen St, Hendersonville, NC 28739-4800 | 2018-05-12 |
| 1518403435 | Joseph Hunter | Occupational Therapy Assistant | 370 Old Shackle Island Rd, Nhc Hendersonville, Hendersonville, TN 37075 | 2017-01-17 |
| 1841645090 | Kimberly Becker | Occupational Therapy Assistant | 139 Maple Row Blvd, Suite 300, Hendersonville, TN 37075-4487 | 2016-04-25 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 28791 |
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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.