Active NPI
Shannon Leigh Damm, OTR
- Occupational Therapist
- Chesterfield, MO
National Provider Identifier
1508074394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2004002143
- Practice address
- 550 White Rd
Chesterfield, MO 63017-2316 - Phone
- (314) 628-6102
- NPI assigned
- May 18, 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 | 2004002143 | MO | Primary |
Addresses
Primary practice location
550 White Rd
Chesterfield, MO 63017-2316
Mailing address
53 Normandy Dr
Lake St Louis, MO 63367-1504
Phone (314) 401-9227
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 |
|---|---|---|---|
| 2004002143 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508074394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 NORMANDY DR",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671504",
"telephone_number": "314-401-9227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WHITE RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172316",
"telephone_number": "314-628-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMM",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2004002143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.