Shannon Attebery, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214844 Issued in TX

Practice address

14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856

Phone

(866) 919-3240

NPI assigned

Oct 31, 2017

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

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 and National Provider Directory roles.

• Small Hands Big Hearts Pediatric Therapy Management Inc

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1992012660
  NPD (past)

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1487166377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 COUNTY ROAD 4859",
            "city": "NEWARK",
            "state": "TX",
            "postal_code": "760713422",
            "telephone_number": "845-625-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548856",
            "telephone_number": "866-919-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Racquet Club Blvd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226408",
            "country_code": "US",
            "telephone_number": "682-738-3056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTEBERY",
        "first_name": "SHANNON",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atrium Family Medical Clinic
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• Eman N Attaya, M.D.
• Lauren M Attiah, LPC
• Atul K Singhal MD Facr
• Gail Elizabeth Atwater I, LMSW
• Christina Atwood, L.M.T., CPT
• Emily Rose Atwood, PA

• All providers in Dallas, TX
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.