Shawn Soren, M.S., O.T. R/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1555 Issued in ID

Practice address

68 S Baltic PL
Meridian, ID 83642-5935

Phone

(208) 587-8255

NPI assigned

Dec 22, 2015

Last updated

Dec 22, 2015By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1225493950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S BALTIC PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425935",
            "telephone_number": "208-587-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S BALTIC PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425935",
            "telephone_number": "208-587-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOREN",
        "first_name": "SHAWN",
        "credential": "M.S., O.T. R/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "1555",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "1555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Blair Solow, M.D.
• Chad Ray Sombke, PH.D.
• Staci Rock Somes, LPC, NCC
• Margery M Soni, NP
• Jeff Alan Sordahl Jr., PSY.D.
• Lorena Sorensen
• Soren Sorensen
• Andrew Garry Southard, M.D.
• Southern Idaho Family Medicine PLLC
• Southern Idaho Health Partners Dba Saltzer Clinics

• Occupational Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.