Shannon Podrebarac, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-008280 Issued in IL

Practice address

2803 Butterfield Road
Suite 350
Oak Brook, IL 60523-1177

Phone

(630) 572-6301

Fax

(630) 572-6314

NPI assigned

Sep 23, 2009

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

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1689908618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 BUTTERFIELD ROAD",
            "address_2": "SUITE 350",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231177",
            "telephone_number": "630-572-6301",
            "fax_number": "630-572-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 BUTTERFIELD ROAD",
            "address_2": "SUITE 350",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231177",
            "telephone_number": "630-572-6301",
            "fax_number": "630-572-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODREBARAC",
        "first_name": "SHANNON",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-008280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Pionto, LCPC LICENSED CLINIC
• Kierstyn Piper
• Madeleine Piper
• Robbin Pipp, PT
• Deidra Rhonyia Pittman, LPC
• Pok Medical Center
• Antranik S Poladian, M.D.
• Melissa Ann Pollard, LCSW
• Katarina Nicole Pong, DPT
• Subhash Popli, MD

• Occupational Therapist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.