Individual provider Active NPI

Shannon Dehne, OTR/L

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1710550207
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008899 Issued in OH
Practice address
6849 Beechmont Ave
Cincinnati, OH 45230-2907
Phone
(513) 909-3434
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008899 OH Primary

Addresses

Primary practice location

6849 Beechmont Ave
Cincinnati, OH 45230-2907

Mailing address

3175 Markbreit Ave
Cincinnati, OH 45209-1731
Phone (513) 235-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002001749 OH Practitioner - Occupational Therapist in Private Practice 3870024730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

6870 Clough Pike
Cincinnati, OH 45244-4161
Phone (513) 407-8866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT008899OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

6870 Clough Pike
Cincinnati, OH 45244
Phone (513) 233-0831

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1710550207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 MARKBREIT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091731",
            "telephone_number": "513-235-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302907",
            "telephone_number": "513-909-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNE",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT008899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.