Shannon R Spafford, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00610000 Issued in NJ

Practice address

2130 Highway 35 Ste 311
Sea Girt, NJ 08750-1011

Phone

(732) 800-3001

Fax

(732) 800-3002

NPI assigned

Jun 13, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cornerstone Speech and Language

  • Speech-Language Pathologist
  • Sea Girt, NJ
  • NPI 1235476979
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1063071934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAFFORD",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00610000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tricia@cornerstonespeechnj.com",
            "affiliation": "N",
            "address_1": "2130 Highway 35 Ste 311",
            "city": "Sea Girt",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087501011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shore Spine & Sport Physical Therapy, LLC
• Shorevax LLC (shore vaccine group)
• Jennifer Shulskie, APN
• Janice Siciliano
• Jeffrey Snyder, PT
• Robert Franklin Stehm, PT, DPT
• Gabrielle Stern, M.S. CF-SLP
• Steven F Eisen Dmdpa
• Strive Physical Therapy Specialists, LLC
• Studio 2020 Vision Care

• Occupational Therapist in Sea Girt, NJ
• Providers in Sea Girt, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.