Shannon Lousie Pennisi, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

19348 Issued in CA

Practice address

1801 N Olive Ave
Turlock, CA 95382-2568

Phone

(877) 441-3031

NPI assigned

Dec 7, 2018

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1043781610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1944",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954901944",
            "telephone_number": "707-272-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N OLIVE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822568",
            "telephone_number": "877-441-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISI",
        "first_name": "SHANNON",
        "middle_name": "LOUSIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Louise Pedersen-Pennock, PH.D.
• Kelsey Pederson, LCSW
• Teresita Pedroza-Tornero
• Maritza Pena
• Nayeli Penaloza
• Clarissa Peralta
• Nadia Perez Llubere
• Hillary Perez Lopez
• Angelica D Perez, P.A.-C
• Joanna Perez

• Occupational Therapist in Turlock, CA
• Providers in Turlock, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.