Shannon Renae Wakem, OTR, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

1049473 Issued in OR

Practice address

8995 SW Miley Rd Ste 109
Wilsonville, OR 97070-5485

Phone

(503) 694-8366

Fax

(503) 694-8581

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanders Hand Therapy, Inc.Group PAC ID 3971775941, 9 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.

• Sanders Hand Therapy, Inc

  • Hand Occupational Therapist
  • Woodburn, OR
  • NPI 1164700837
  Medicare reassignment Care Compare group NPD
• Sanders Hand Therapy, Inc.

  • Hand Occupational Therapist
  • Wilsonville, OR
  • NPI 1386058790
  NPD
• Providence Silverton Rehab LLC

  • Physical Therapy Clinic/Center
  • Woodburn, OR
  • NPI 1619172780
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1710149786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970700965",
            "telephone_number": "503-694-8366",
            "fax_number": "503-694-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD STE 109",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705485",
            "telephone_number": "503-694-8366",
            "fax_number": "503-694-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Woodburn",
            "state": "OR",
            "postal_code": "970712811",
            "country_code": "US",
            "telephone_number": "503-982-4200",
            "fax_number": "503-981-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKEM",
        "first_name": "SHANNON",
        "middle_name": "RENAE",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1049473",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "1049473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297902",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sandershandtherapy.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company website",
            "address_1": "8995 SW Miley Rd Ste 109",
            "city": "Wilsonville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970705485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Voves, ND
• Madeline Wagar
• Christian Micaiah Wagner
• Lindsey Ann Wagner, OTR/L
• Shannon Rose Wagner, OTD, OTR/L
• Elizabeth Walden, M.A., CCC-SLP
• Walgreen Co
• Candace Lyn Walhood, P.T.
• Brice Walker
• Marilee Ann Walker, OTR/L, SCLV

• Hand Occupational Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Hand Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.