Shannon Felts

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6647359-4201 Issued in UT

Practice address

24 W Sergeant Court Dr Ste 204
Saratoga Springs, UT 84045-5809

Phone

(801) 987-6333

Fax

(801) 341-8724

NPI assigned

Feb 18, 2010

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

Other names 1

• Shannon Cook Former name

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.

• Breaking Barriers Therapy Services LLC

  • Speech-Language Pathologist
  • Saratoga Springs, UT
  • NPI 1891201794

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1508188574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E SOUTH TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021507",
            "telephone_number": "801-350-4111",
            "fax_number": "801-350-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W SERGEANT COURT DR STE 204",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455809",
            "telephone_number": "801-987-6333",
            "fax_number": "801-341-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "6647359-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Lynn Ensign, OTD, OTR
• Andrew Erickson
• Andrea Evans, RBT
• Brynn Facundo
• Kylie Tara Jean Felix, LCSW
• First Care Medical-Orthomed LLC
• Tiffany Fletcher
• Christopher C Foster, M.D.
• Cami Lynn Fountaine, LPN
• Brittany Nichole Fox

• Occupational Therapist in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.