Shannon O'Brien, PT, DPT

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

293048 Issued in CA

Practice address

26081 Merit Cir Ste 107
Laguna Hills, CA 92653-7017

Phone

(949) 367-0310

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

Yes

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

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.

• Beach Kids Therapy Center, Inc.

  • Pediatric Occupational Therapist
  • San Clemente, CA
  • NPI 1760658074
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1619407459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26081 MERIT CIR STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537017",
            "telephone_number": "949-367-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26081 MERIT CIR STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537017",
            "telephone_number": "949-367-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "293048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nowrx Inc
• Nuevo Dialysis LLC
• Nuvell Care Professional Corporation
• Kristina B Nylander, MD
• O. Frangopol, DDS, a Professional Dental Corp
• Myra Lynn O'Connell, OTR/L
• Rebecca Anne O'Connell, LMFT
• Lorelei O'Neill
• Oak Health Center, a Medical Corporation
• OB/GYN Associates- Saddleback

• Pediatric Rehabilitation Medicine Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Pediatric Rehabilitation Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.