Individual provider Active NPI

Shannon Pfeiffer Beckel, OTR

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1346495579
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
109034 Issued in TX
Practice address
14207 Higgins Rd.
San Antonio, TX 78217-1252
Phone
(210) 826-4492
Fax
(210) 826-7887
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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 109034 TX Primary

Addresses

Primary practice location

14207 Higgins Rd.
San Antonio, TX 78217-1252

Mailing address

25335 Estancia Circle
San Antonio, TX 78260-4366
Phone (210) 601-4098

Other identifiers 1

IdentifierTypeStateIssuer
005579001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1346495579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25335 ESTANCIA CIRCLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604366",
            "telephone_number": "210-601-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14207 HIGGINS RD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171252",
            "telephone_number": "210-826-4492",
            "fax_number": "210-826-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKEL",
        "first_name": "SHANNON",
        "middle_name": "PFEIFFER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005579001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.