Active NPI
Shannon Marie Tychnowitz, MOTRL
- Occupational Therapist
- Corpus Christi, TX
National Provider Identifier
1053407130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112615
- Practice address
- 2709 Cimarron Blvd
Corpus Christi, TX 78414-3431 - Phone
- (361) 980-8200
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 112615 | TX | Primary |
Addresses
Primary practice location
2709 Cimarron Blvd
Corpus Christi, TX 78414-3431
Mailing address
2709 Cimarron Blvd
Corpus Christi, TX 78414-3431
Phone (361) 980-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112615 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1053407130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 CIMARRON BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784143431",
"telephone_number": "361-980-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 CIMARRON BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784143431",
"telephone_number": "361-980-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYCHNOWITZ",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MOTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
- Wendelene Nicole Turner, DDS
- Turnwell Mental Health of South Texas, PLLC
- Patricia Joann Turpin, FNP-BC
- TX Private Practice LLC
- TX-Desai Dental Corpus Christi PLLC
- James Brooks Tyree, MD
- Michelle Tyrrel-Christie, NP
- April Renee Tysor, FNP-C
- Maureen C Uchegbu, APRN, DNP, FNP-C
- Arthur James Uehlinger Jr., DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.