Individual provider Active NPI

Shannon Yarbrough, OT

  • Occupational Therapist
  • Cleveland, OH
National Provider Identifier
1336940758
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008829 Issued in OH
Practice address
1909 E 101St St
Cleveland, OH 44106-4110
Phone
(216) 791-8118
Fax
(216) 472-4525
NPI assigned
Mar 21, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008829 OH Primary

Addresses

Primary practice location

1909 E 101St St
Cleveland, OH 44106-4110

Mailing address

1909 E 101St St
Cleveland, OH 44106-4110
Phone (216) 791-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000511 OH Practitioner - Occupational Therapist in Private Practice 2961911458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Society for the BlindGroup PAC ID 3173615283, 8 clinicians

Practice addresses (Care Compare)

1909 E 101St St
Cleveland, OH 44106-4110
Phone (216) 791-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Society for the Blind Occupational Therapist CurrentSince Feb 27, 2025 Accepting new patients
Cleveland Society for the Blind PastSince Feb 27, 2025 Accepting new patients

Locations

1909 E 101st St
Cleveland, OH 44106
Phone (216) 791-8118

1909 E 101st St
Ste 216
Cleveland, OH 44106

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1336940758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E 101ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064110",
            "telephone_number": "216-791-8118",
            "fax_number": "216-472-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 E 101ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064110",
            "telephone_number": "216-791-8118",
            "fax_number": "216-472-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "SHANNON",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT008829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.