Shannon Bayard, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00939400 Issued in NJ

Practice address

945 River Ave Ste 201
Lakewood, NJ 08701-5675

Phone

(732) 833-3723

NPI assigned

Feb 6, 2021

Last updated

Feb 6, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ignite Rehab Corp

  dba Ignite Rehab

  • Occupational Therapist
  • Wayne, NJ
  • NPI 1902542574
  Medicare reassignment NPD
• Metro Physical Therapy LLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1144028796

  NJ, Occupational Therapist

  Medicare reassignment NPD
• Brainbuilders

  • Speech-Language Pathologist
  • Lakewood, NJ
  • NPI 1801501846
  NPD
• Brainbuilders

  • Behavior Analyst
  • Lakewood, NJ
  • NPI 1144552621
  NPD (past)

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1285226761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROCHELLE DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER AVE STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015675",
            "telephone_number": "732-833-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYARD",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00939400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivka Baum
• Tova Baum
• Blima Baumwolspiner, BCBA
• Shaindel Baumwolspiner, CF- SLP
• Alondra Bautista
• Beaming Kids ABA
• Faige Beane, RDN
• Beaware Corp
• Carolyn Mindy Becker, M.A., CCC-SLP
• David Becker, LSW

• Occupational Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.