Active NPI
Shannon D Houstoun
- Occupational Therapist
- Deltona, FL
National Provider Identifier
1437283306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 8371
- Practice address
- 1666 Monica St
Deltona, FL 32725-3968 - Phone
- (386) 801-7095
- Fax
- (386) 532-1374
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 8371 | FL | Primary |
Addresses
Primary practice location
1666 Monica St
Deltona, FL 32725-3968
Mailing address
1666 Monica St
Deltona, FL 32725-3968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U0593Z | Other | FL | MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 8371 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy of Lake County, Inc. | Past | Accepting new patients | |
| Rhonda L Boertmann Cota PA | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Mount Dora, FL
- NPI 1427173640
-
- Occupational Therapy Assistant
- Deltona, FL
- NPI 1679617740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1437283306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 MONICA ST",
"city": "DELTONA",
"state": "FL",
"postal_code": "327253968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 MONICA ST",
"city": "DELTONA",
"state": "FL",
"postal_code": "327253968",
"telephone_number": "386-801-7095",
"fax_number": "386-532-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTOUN",
"first_name": "SHANNON",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 8371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "U0593Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.