Shannon Randall, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006090 Issued in GA

Practice address

2030 Windward LN
Gainesville, GA 30501-7418

Phone

(770) 535-8181

NPI assigned

Aug 3, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013393917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445812",
            "telephone_number": "855-423-6287",
            "fax_number": "678-669-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WINDWARD LN",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017418",
            "telephone_number": "770-535-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Townpark Dr NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301445812",
            "country_code": "US",
            "telephone_number": "855-423-6287 x701",
            "fax_number": "678-669-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Murphy Ramos, PT, DPT, LAT, ATC
• Justin Ramos
• Indranie Ramsaroop
• J. Andrew Ramsey, DMD
• Randall Overdorff, LPC
• Manraj Kaur Randhawa, MD
• Kristin Randolph
• Marc J Ranfone, AAC
• Deepa Ranganathan, MD
• Christy Rassel, SLP

• Occupational Therapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.