Individual provider Active NPI

Shannon Lewy, LOTR

  • Occupational Therapist
  • Baton Rouge, LA
National Provider Identifier
1073678884
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z11202 Issued in LA
Practice address
8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone
(225) 767-8182
Fax
(225) 767-8757
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Z11202 LA Primary

Addresses

Primary practice location

8448 Siegen LN
Baton Rouge, LA 70810-1938

Mailing address

8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone (225) 767-8182

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z11202LAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1073678884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8448 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101938",
            "telephone_number": "225-767-8182",
            "fax_number": "225-767-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8448 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101938",
            "telephone_number": "225-767-8182",
            "fax_number": "225-767-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWY",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.