Shannon Lea Dreyer, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2003017427 Issued in MO

Practice address

326 College St
Perryville, MO 63775-2624

Phone

(573) 547-7500

Fax

(573) 547-6936

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Shannon Lea Dreyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Perry County School Dist 32

  • Local Education Agency (LEA)
  • Perryville, MO
  • NPI 1235294190
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346314911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 COLLEGE ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752624",
            "telephone_number": "573-547-7500",
            "fax_number": "573-547-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 COLLEGE ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752624",
            "telephone_number": "573-547-7500",
            "fax_number": "573-547-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYER",
        "first_name": "SHANNON",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2003017427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DREYER",
            "middle_name": "LEA",
            "prefix": "MISS",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Ann Davis, R.N.
• Sherry Lynn Davis, P.T.
• Catherine Devaney, LPC
• Rachel Dibooglu, FNP-C
• Nicholas Patrick Doherty
• East Missouri Action Agency, Inc.
• Randi Elder
• Elite Spinal Chiropractic, LLC
• Empathic Care
• Shelby Lynne Erlacker, LMSW

• Occupational Therapist in Perryville, MO
• Providers in Perryville, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.