Brooke Lynn Shores

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC014679 Issued in PA

Practice address

1101 Vine St
Scranton, PA 18510-2126

Phone

(570) 344-6177

NPI assigned

Apr 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1437503273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 VINE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102126",
            "telephone_number": "570-344-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VINE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102126",
            "telephone_number": "570-344-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "BROOKE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Shiner-Suchecki
• Carol Lee Shiner, RDN LDN
• Mohamed Husam Shitia, DO
• Michael Shokunbi
• Amber Sholtes, PA-C
• Joseph P Shovlin, OD
• Sanskriti Shrivastava, MD
• Susan K Shumaker, PTA
• Daniel Reese Shust, M.D.
• Katerina R Shvartsman, MD

• Occupational Therapist in Scranton, PA
• Providers in Scranton, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.