Brendan Simard McShane, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2012005417 Issued in MO

Practice address

4383 SW Breezy Point LN
Lees Summit, MO 64082-4771

Phone

(816) 210-4102

NPI assigned

Nov 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1497082630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 SW BREEZY POINT LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 SW BREEZY POINT LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824771",
            "telephone_number": "816-210-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "BRENDAN",
        "middle_name": "SIMARD",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2012005417",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2012005417",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE LICENSE",
            "identifier": "17-02788",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri McMeans, LPN
• Joseph McMichen
• Jessica McMillan, FNP-C
• Caleb McNab, DO
• Megan Elizabeth McNally, M.D.
• Jennifer Jeanne McShane, PT
• Jordan James McSweeney, DPT
• Joshua B Meade, PHARMD
• Christine E Meador, RPH
• Julia Marie Meagher, DNP

• Occupational Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.