Active NPI
Shannon Hanson, OTR/L
- Occupational Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007039
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-009752 | AZ | MD | Occupational Therapist |
| OT25862 | CA | MD | Occupational Therapist |
| OT7465 | SC | MD | Occupational Therapist |
| OT61448121 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| BHSM Rehabilitation LLC | Occupational Therapist | Current | 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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapy Clinic/Center
- Maricopa, AZ
- NPI 1366162877
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1063711562
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
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.