Shannon Beedy, OTL/R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-009602 Issued in AZ

Practice address

8020 E Gelding Dr Ste B-101
Scottsdale, AZ 85260-6948

Phone

(602) 808-9912

Fax

(602) 875-0385

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

Yes

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)

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.

• Fox Rehabilitation Services Az LLC

  • Physical Therapist
  • Prescott, AZ
  • NPI 1982329850

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1306692009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42211 N 41ST DR STE 145",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 E GELDING DR STE B-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606948",
            "telephone_number": "602-808-9912",
            "fax_number": "602-875-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEDY",
        "first_name": "SHANNON",
        "credential": "OTL/R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bee Well Kidz, LLC
• Beech Tree LLC
• Kelli Ann Beecher
• Cash Ralph Beechler, M.D.
• Kristy Lou Beeco, AMFT
• Mark E Beehner, M.D., D.D.S.
• Jessica Begay
• Katonya Begay, LMSW
• Lauren Elizabeth Beggs
• Begin Within Wellness Corp

• Occupational Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.