Shannon Elizabeth Flynn, OTR-L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4928 Issued in NC

Practice address

1611 Jones Franklin Rd
Suite 109
Raleigh, NC 27606-3376

Phone

(919) 852-0702

Fax

(919) 852-0742

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Let's Play Pediatric Therapy Services, PLLC

  • Occupational Therapist
  • Morrisville, NC
  • NPI 1215371612
  NPD (past) Authorized official
• Let's Talk Speech & Language Services, Inc.

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1346314440

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629142716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 ARRINGDON PARK DR",
            "address_2": "APT 204",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607446",
            "telephone_number": "518-542-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 JONES FRANKLIN RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063376",
            "telephone_number": "919-852-0702",
            "fax_number": "919-852-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301605",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Joseph Flynn, DC
• Kathleen Flynn, M.D.
• Kelley Hamilton Flynn, LMFTA
• Lauren Flynn, PA
• Matthew K Flynn, M.D.
• Theresa McCarthy Flynn, M.D., M.P.H.
• Krystin Greer Fmura, FNP
• Randy Fobbs
• Focal Point Medical Staffing Inc (Quick Results Lab)
• Focus & Flow Therapeutics PLLC

• Occupational Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.