Loretta Maree Shannon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2076 Issued in NC

Practice address

58 Physicians Dr NW Ste 106
Supply, NC 28462-4216

Phone

(910) 329-4444

Fax

(910) 406-4111

NPI assigned

Apr 28, 2021

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

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

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.

• Cortica Healthcare Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)
• OT Etc, Inc

  • Specialist
  • San Diego, CA
  • NPI 1487671210
  NPD (past)
• PT in Motion

  • Pediatric Occupational Therapist
  • San Diego, CA
  • NPI 1699884221
  NPD (past)

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1679155683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 AIRLIE VISTA LN",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284450109",
            "telephone_number": "760-473-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PHYSICIANS DR NW STE 106",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624216",
            "telephone_number": "910-329-4444",
            "fax_number": "910-406-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "LORETTA",
        "middle_name": "MAREE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Rae Scarlett, RPAC
• Jordan Schneider
• Kirsten M Schneider, PA-C
• Jeffrey D Seder, M.D.
• Shallotte Medical Center Inc
• Renee Elizabeth Shepherd-Smith, DPM
• Shore Fun Pediatrics
• South Atlantic Radiation Oncology, LLC
• Southern Cross Community Services, Inc
• Daniel B Spagnoli, DDS, MS, PHD

• Occupational Therapist in Supply, NC
• Providers in Supply, 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 Aug 31, 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.