Active NPI
Kendra Kay Shaner, OTR/L, CHT
- Hand Occupational Therapist
- Fairbanks, AK
National Provider Identifier
1659125235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- PHYO2393
- Practice address
- 19 College Rd Ste B
Fairbanks, AK 99701-1749 - Phone
- (907) 456-5670
- Fax
- (907) 458-3071
- NPI assigned
- Apr 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | PHYO2393 | AK | Primary |
Addresses
Primary practice location
19 College Rd Ste B
Fairbanks, AK 99701-1749
Mailing address
19 College Rd Ste B
Fairbanks, AK 99701-1749
Phone (907) 456-5670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHYO2393 | AK | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1659125235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 COLLEGE RD STE B",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011749",
"telephone_number": "907-456-5670",
"fax_number": "907-458-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 COLLEGE RD STE B",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011749",
"telephone_number": "907-456-5670",
"fax_number": "907-458-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANER",
"first_name": "KENDRA",
"middle_name": "KAY",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AK",
"license": "PHYO2393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.