Shannon Leigh Mellott, OTA
Individual provider Active NPI Occupational Therapy Assistant · Williamsport, MD
NPI 1386717544 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386717544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A01493 (MD)
- Practice address
- 154 N Artizan St
Williamsport, MD 21795-1104 - Phone
- (301) 223-7971
- Fax
- (301) 223-7941
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01493 | MD | MD | Occupational Therapy Assistant |
| OP005813 | PA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A01493 | MD | Yes |
| Occupational Therapy Assistant | 224Z00000X | OP005813 | PA |
Addresses
Primary practice location
154 N Artizan St
Williamsport, MD 21795-1104
Mailing address
5823 Charlestown Rd
Mercersburg, PA 17236-9442
Phone (717) 325-1018
Other names
- Miss Shannon Leigh Thomas
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All providers in Williamsport, MD · Occupational Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.