Active NPI
Shannon Reid-Graves, MOTR/L
- Occupational Therapist
- Meridian, ID
National Provider Identifier
1295084465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-626
- Practice address
- 1550 N. Crestmont Dr., Ste. E
Meridian, ID 83642-2177 - Phone
- (208) 898-0988
- Fax
- (208) 898-9022
- NPI assigned
- Sep 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-626 | ID | Primary |
Addresses
Primary practice location
1550 N. Crestmont Dr., Ste. E
Meridian, ID 83642-2177
Mailing address
1550 N. Crestmont Dr., Ste. E
Meridian, ID 83642-2177
Phone (208) 898-0988
Other names 1
- Shannon Reid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121113000216 | ID | Practitioner - Occupational Therapist in Private Practice | 7315198736 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation LLC
Practice addresses (Care Compare)
4000 S 25TH
Idaho Falls, ID 83404-7524
Phone (208) 410-6052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-626 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 16
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.
-
- Multi-Specialty Clinic/Center
- Boise, ID
- NPI 1962133132
ID, Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Appleton, WI
- NPI 1134844848
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
-
- Rehabilitation Clinic/Center
- Fort Wayne, IN
- NPI 1154017481
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1225766447
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1255900296
-
- Multi-Specialty Clinic/Center
- Charlotte, NC
- NPI 1285382440
-
- Rehabilitation Clinic/Center
- Williamsburg, VA
- NPI 1336872365
-
- Multi-Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1407586555
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
-
- Rehabilitation Clinic/Center
- Dyer, IN
- NPI 1497441729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1295084465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 N. CRESTMONT DR., STE. E",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422177",
"telephone_number": "208-898-0988",
"fax_number": "208-898-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N. CRESTMONT DR., STE. E",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422177",
"telephone_number": "208-898-0988",
"fax_number": "208-898-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID-GRAVES",
"first_name": "SHANNON",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "REID",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.