Active NPI
Shannon Marie O'Neill, OTR/L
- Occupational Therapist
- Wyndmoor, PA
National Provider Identifier
1174081459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC007369L
- Practice address
- 8601 Stenton Ave
Wyndmoor, PA 19038-8312 - Phone
- (215) 233-6242
- NPI assigned
- Mar 6, 2019
- 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 | OC007369L | PA | Primary |
Addresses
Primary practice location
8601 Stenton Ave
Wyndmoor, PA 19038-8312
Mailing address
432 Spruce Street
Apt. 2ND Floor Rear
Philadelphia, PA 19106
Phone (267) 977-2546
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC007369L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1174081459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 SPRUCE STREET",
"address_2": "APT. 2ND FLOOR REAR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19106",
"telephone_number": "267-977-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 STENTON AVE",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190388312",
"telephone_number": "215-233-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC007369L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.