Active NPI
Shannen Cohenshad, OTR/L
- Occupational Therapist
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23817
- Practice address
- 1855 Cochran St Ste 109
Simi Valley, CA 93065-2265 - Phone
- (805) 526-2311
- Fax
- (805) 526-6608
- NPI assigned
- Jan 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Occupational Therapist | 225X00000X | 23817 | CA | Primary |
Addresses
Primary practice location
1855 Cochran St Ste 109
Simi Valley, CA 93065-2265
Mailing address
5720 Ralston St Ste 200
Ventura, CA 93003-7844
Phone (805) 804-4168
Other practice location 1
137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707
Phone (805) 379-2132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23817 | Other | CA | STATE LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://venturaortho.com/ | ||
| CONNECT URL | https://venturaortho.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Saint Charles Dr
Suite 100
Thousand Oaks, CA 91360-3969
Phone (805) 449-1125
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.77 of 100
- Quality
- 31.85
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Hand Therapy Inc | Occupational Therapist | Current | Accepting new patients |
| Matrix Physical Therapy and Wellness, PC | Occupational Therapist | Current | Accepting new patients |
| Meridian Hand Therapy Inc | Current | Accepting new patients |
Locations
18911 Nordhoff St
Ste 37
Northridge, CA 91324
Phone (818) 435-2800
2730 Wilshire Blvd
Ste 105
Santa Monica, CA 90403
Phone (310) 310-2931
550 Saint Charles Dr
Ste 100
Thousand Oaks, CA 91360
Phone (805) 449-1125
Organizations & group practices 3
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.
-
- Hand Occupational Therapist
- Thousand Oaks, CA
- NPI 1053395186
-
- Physical Therapy Clinic/Center
- Santa Monica, CA
- NPI 1790238418
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Thousand Oaks, CA
- NPI 1154537421
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1215576756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 RALSTON ST STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037844",
"telephone_number": "805-804-4168",
"fax_number": "805-830-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 COCHRAN ST STE 109",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652265",
"telephone_number": "805-526-2311",
"fax_number": "805-526-6608"
}
],
"practiceLocations": [
{
"address_1": "137 E Thousand Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913605707",
"country_code": "US",
"telephone_number": "805-379-2132",
"fax_number": "805-917-4206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHENSHAD",
"first_name": "SHANNEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "23817",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://venturaortho.com/",
"affiliation": "N",
"address_1": "1855 Cochran St Ste 109",
"city": "Simi Valley",
"state": "CA",
"country_code": "US",
"postal_code": "930652265",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://venturaortho.com/",
"affiliation": "N",
"address_1": "137 E Thousand Oaks Blvd",
"city": "Thousand Oaks",
"state": "CA",
"country_code": "US",
"postal_code": "913605707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.