Shannon Joann Henry, OTL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

462770 Issued in OR

Practice address

924 Laurel St
Lake Oswego, OR 97034-4955

Phone

(503) 539-1034

NPI assigned

Jun 30, 2008

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 names 1

• Miss Shannon Joann Currier Former name

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1629230602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 LAUREL ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970344955",
            "telephone_number": "503-539-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 LAUREL ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970344955",
            "telephone_number": "503-539-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHANNON",
        "middle_name": "JOANN",
        "name_prefix": "Ms.",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "462770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CURRIER",
            "middle_name": "JOANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corinne Henderson, LCSW
• Willa P Hendrickson, D.C.
• Diana Hengerer, LMT
• Kathryn Henkle
• Jack Albert Henry, D.M.D.
• Elizabeth Her
• Nicole Mae Herbert
• Lisa Anne Heredia, NP
• Anthony Hernandez
• Rebecca R Hernandez

• Pediatric Occupational Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.