Active NPI
Shannon M Cross, OTR
- Occupational Therapist
- Evansville, IN
National Provider Identifier
1134330541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001640A
- Practice address
- 14020 Old State Rd Ste D100
Evansville, IN 47725-1167 - Phone
- (812) 469-4770
- NPI assigned
- May 25, 2007
- 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 | 31001640A | IN | Primary |
Addresses
Primary practice location
14020 Old State Rd Ste D100
Evansville, IN 47725-1167
Mailing address
5927 Reliable Pwy
Chicago, IL 60686-0001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1134330541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 RELIABLE PWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14020 OLD STATE RD STE D100",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477251167",
"telephone_number": "812-469-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001640A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.