Shannon O'Leary

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

46TA09226300 Issued in NJ

Practice address

8000 Fellowship Rd
Basking Ridge, NJ 07920-3915

Phone

(908) 580-3800

NPI assigned

Aug 22, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1336027994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 FELLOWSHIP RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FELLOWSHIP RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203915",
            "telephone_number": "908-580-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": "46TA09226300",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "46TA09226300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey Oculoplastic Services, LLC
• Andrew Newkirk, MA
• Anna Maria Nieves, NP
• NJ Integrated Health and Wellness LLC
• Rolinda Cervantes Nwokonko, APN
• Brianna O'Mara, LCSW
• Adeola Gabriel Obayanju, DNP, APN, AGPNP-BC
• Mary Kathleen Obrien
• Pauline Anyango Ochieng, APN FNP-BC
• Renay Opokuh

• Physical Medicine & Rehabilitation Physician in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.