Shannon Ma, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTL15592 Issued in MA

Practice address

461 River Rd
Andover, MA 01810-4349

Phone

(650) 709-9009

NPI assigned

Jan 12, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1568320422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FRANKLIN ST # 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021454227",
            "telephone_number": "650-709-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104349",
            "telephone_number": "650-709-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "SHANNON",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "OTL15592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lux Behavioral and Wellness Center Corporation
• Alison Catherine Lynch, OD
• Amy E Lynch, PNP
• Courtney Lynch
• David Ma, M.D.
• Elizabeth Maceachern
• Alicia Christine Macinnis
• Paula Renee Mackay, COTA
• Bridget Bridget Mackenzie, WHNP-BC
• Jolene Mackinnon

• Pediatric Occupational Therapist in Andover, MA
• Providers in Andover, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.