Individual provider Active NPI

Shannon L Looney-Colton, OT

  • Occupational Therapist
  • Santa Maria, CA
National Provider Identifier
1285645408
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15494 Issued in CA
Practice address
4869 S Bradley Rd
Ste 114
Santa Maria, CA 93455-5065
Phone
(805) 938-5320
Fax
(805) 938-5390
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004326 MO
Occupational Therapist 225X00000X OT15494 CA Primary

Addresses

Primary practice location

4869 S Bradley Rd
Ste 114
Santa Maria, CA 93455-5065

Mailing address

1106 Walnut St
Ste 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805

Other names 1

  • Ms. Shannon L Morrow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004328MOMDSocial Worker
OT15494CAMDOccupational Therapist
004326MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atr Hand Therapy LLC PastSince Feb 6, 2017 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1285645408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "STE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 S BRADLEY RD",
            "address_2": "STE 114",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555065",
            "telephone_number": "805-938-5320",
            "fax_number": "805-938-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOONEY-COLTON",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004326",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT15494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MORROW",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.