Active NPI
Shona P Compoc
- Occupational Therapist
- Salt Lake City, UT
National Provider Identifier
1093064552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-766
- Practice address
- 1952 E 7000 S
Salt Lake City, UT 84121-6877 - Phone
- (801) 942-3311
- Fax
- (801) 942-5955
- NPI assigned
- Aug 30, 2012
- 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 | OT-766 | HI | Primary |
Addresses
Primary practice location
1952 E 7000 S
Salt Lake City, UT 84121-6877
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Phone (801) 942-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221014000634 | HI | Practitioner - Occupational Therapist in Private Practice | 7113303348 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 -2688 Kaleponi Dr
Volcano, HI 96785
Phone (808) 217-6988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-766 | HI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laulima Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1093064552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711185",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841711185",
"telephone_number": "801-942-3311",
"fax_number": "801-942-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 E 7000 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216877",
"telephone_number": "801-942-3311",
"fax_number": "801-942-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPOC",
"first_name": "SHONA",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "OT-766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- Natalie Como, MD
- Comp Today LC
- Compass Counseling and Consulting
- Compass Counseling and Consulting
- Completesmiles Cottonwood - Accelerate LLC
- Comprehensive Family Clinic
- Comprehensive Orthopedic Specialists, LLC
- Comprehensive Psychological Services Inc
- Comprehensive Treatment Solutions
- Edward Earl Compton, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.