Individual provider Active NPI

Shannen Kaylee Jimenez, OTR/L

  • Hand Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1508566886
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OTH-009224 Issued in AZ
Practice address
2800 E Ajo Way Ste 200
Tucson, AZ 85713-6204
Phone
(520) 462-0248
NPI assigned
Mar 6, 2023
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-3185 NV
Hand Occupational Therapist 225XH1200X OTH-009224 AZ Primary

Addresses

Primary practice location

2800 E Ajo Way Ste 200
Tucson, AZ 85713-6204

Mailing address

2800 E Ajo Way Ste 200
Tucson, AZ 85713-6204
Phone (520) 462-0248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230324001788 NV Practitioner - Occupational Therapist in Private Practice 6305210725 Reassigns benefits to 1 organization
I20231010000725 AZ Practitioner - Occupational Therapist in Private Practice 6305210725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

2800 E Ajo Way
Suite 201
Tucson, AZ 85713-6204
Phone (520) 694-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Aug 1, 2023 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Aug 1, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Dignity Select Nevada LLC CurrentSince Mar 1, 2023 Accepting new patients
Dignity Select Nevada LLC Current Accepting new patients
Dignity Select Nevada, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607

2912 N West St
Flagstaff, AZ 86004
Phone (928) 214-7430

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 277-0084

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133

9377 E Bell Rd
Ste 349
Scottsdale, AZ 85260
Phone (602) 313-1549

10503 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 537-9730

5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607

6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 730-0501

265 W Ina Rd
Ste 103
Tucson, AZ 85704
Phone (520) 462-0510

2800 E Ajo Way
Ste 200
Tucson, AZ 85713
Phone (520) 462-0248

2800 E Ajo Way
Ste 201
Tucson, AZ 85713
Phone (520) 462-0248

6380 E Grant Rd
Ste 100
Tucson, AZ 85715
Phone (520) 420-1150

2650 N Tenaya Way
Ste 180
Las Vegas, NV 89128
Phone (702) 240-2952

1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1508566886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-462-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "520-462-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "SHANNEN",
        "middle_name": "KAYLEE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-3185",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "OTH-009224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.