Shannon Elbo

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

12901 Broleman Rd
Orlando, FL 32832-6107

Phone

(407) 641-0808

NPI assigned

Mar 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Florida Pediatric Therapy, LLC

  • Developmental Therapist
  • Orlando, FL
  • NPI 1457007742
  NPD
• Florida Pediatric Therapy, LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1043483969

  Developmental Therapist

  NPD (past)

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1235939760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MICHIGAN AVE # 314",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442927",
            "telephone_number": "407-641-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 BROLEMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326107",
            "telephone_number": "407-641-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Michigan Ave # 314",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347442927",
            "country_code": "US",
            "telephone_number": "407-641-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELBO",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keara Loreal Elam
• Magda Elamin, MD
• Samer K Elbabaa, M.D.
• Iman Linda Elbadri
• Ayah Elbermawy, M.D.
• Andrew Christian Elden, M.D.
• Elder Care Advantage LLC
• Sharon Elder Cristiano, L.M., C.P.M.
• Esther Elder, PA
• Nina Elder, LMFT

• Developmental Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.