Individual provider Active NPI

Shannon Hanson, OTR/L

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1548746266
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007039 Issued in GA
Practice address
1901 Phoenix Blvd Ste 120
Atlanta, GA 30349-5062
Phone
(404) 355-6548
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT25862 CA
Occupational Therapist 225X00000X OTH-009752 AZ
Occupational Therapist 225X00000X OT007039 GA Primary
Occupational Therapist 225X00000X OT7465 SC
Occupational Therapist 225X00000X OT61448121 WA

Addresses

Primary practice location

1901 Phoenix Blvd Ste 120
Atlanta, GA 30349-5062

Mailing address

2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476
Phone (404) 355-0743

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230726003025 WA Practitioner - Occupational Therapist in Private Practice 8325398779 Reassigns benefits to 1 organization
I20251108000485 AZ Practitioner - Occupational Therapist in Private Practice 8325398779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

2222 E Highland Ave
Suite 310
Phoenix, AZ 85016-4879
Phone (602) 512-8550

2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2177
Phone (480) 813-7900

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-009752AZMDOccupational Therapist
OT25862CAMDOccupational Therapist
OT7465SCMDOccupational Therapist
OT61448121WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jun 30, 2023 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Sep 8, 2025 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Multicare Health System CurrentSince Jun 30, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
BHSM Rehabilitation LLC Occupational Therapist CurrentSince Sep 8, 2025 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

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

2940 E Banner Gateway Dr
Ste 350
Gilbert, AZ 85234
Phone (480) 462-3880

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

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

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

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

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1548746266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE STE 705",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-355-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PHOENIX BLVD STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495062",
            "telephone_number": "404-355-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT25862",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009752",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007039",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "OT7465",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61448121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.