Shannon Wall, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

33 Canterberry Cir
Flemington, NJ 08822-1861

Phone

(901) 596-2633

NPI assigned

May 11, 2015

Last updated

May 11, 2015By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1326426214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CANTERBERRY CIR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221861",
            "telephone_number": "901-596-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CANTERBERRY CIR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221861",
            "telephone_number": "901-596-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "SHANNON",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-2294)
• Wald Drugs 2 Flemington
• Walgreen Co (Walgreens #09933)
• Walgreen Co (Rite Aid #10520)
• Kathryn A. Wall, APN
• Cory Wallace, MSN, AGPCNP-BC
• John M. Walsh, DVM
• Maureen K Walsh, APN BC
• Kelly Rotella Walters, PHD
• Leonard R Wan, DMD

• Occupational Therapy Assistant in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.