Shannon Deck, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

U1-0001866 Issued in DE

Practice address

301 Ocean View Blvd
Lewes, DE 19958-1269

Phone

(302) 645-4664

NPI assigned

Feb 20, 2019

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1205393774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30907 EDGEWATER DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583826",
            "telephone_number": "610-790-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OCEAN VIEW BLVD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581269",
            "telephone_number": "302-645-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lowery Deal, PHARM.D.
• Dawn Dean
• Margaret Deangelis
• Roberta Debastiani
• Deborah Stokes, PHD, LLC
• Robert C Deckmann, MD
• Kelly Decyk
• Lindsay Deegan, AUD
• Linda Defeo, MD
• Christine Anne Degnon, MD

• Occupational Therapist in Lewes, DE
• Providers in Lewes, DE by specialty
• Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.