Molly S Shannon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2472 Issued in NC

Practice address

5501 Executive Center Dr Ste 105
Charlotte, NC 28212-8823

Phone

(704) 566-2899

Fax

(704) 566-2862

NPI assigned

Jan 7, 2008

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1083899355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 EXECUTIVE CENTER DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128823",
            "telephone_number": "704-566-2899",
            "fax_number": "704-566-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 EXECUTIVE CENTER DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128823",
            "telephone_number": "704-566-2899",
            "fax_number": "704-566-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MOLLY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon G. Parsons of North Carolina P.a
• Shannon Hyde, NP
• Shannon Kersey, Lpa
• Jackson Lane Shannon, PHARM. D.
• Kimberly Shannon, RD
• Patricia Shannon
• Shant-Knows-It-All Dba Wright Away Medical Courier Services
• Ashley Shapiro
• Edward I Shapiro, D.D.S
• Eric Mitchell Shapiro, D.C.

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.