Shanna Marie Ison, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1156 Issued in WV

Practice address

699 S Park Rd
Charleston, WV 25304-2627

Phone

(304) 925-1532

Fax

(304) 926-8018

NPI assigned

Apr 4, 2007

Last updated

Dec 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Ona, WV
  • NPI 1336858398

  Occupational Therapist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1003938911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 S PARK RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042627",
            "telephone_number": "304-925-1532",
            "fax_number": "304-926-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S PARK RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042627",
            "telephone_number": "304-925-1532",
            "fax_number": "304-926-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "SHANNA",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Isble, DDS
• Dylan James Isenhart
• Carol Ising
• Mackenzie Ising
• Sibel Islak Mutcali, MD
• Barbara Iyanda
• Ramakrishnan S Iyer, MD
• J. Christopher Smith, D.D.S. PLLC
• Angel Jackson
• Brooklyn Jackson

• Occupational Therapist in Charleston, WV
• Providers in Charleston, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.