Shannon Ware, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

02850 Issued in OH

Practice address

115 Elmwood Cir
West Carrollton, OH 45449-2428

Phone

(937) 866-3814

NPI assigned

Jun 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1710722483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 SHETTERLY LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454402228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ELMWOOD CIR",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454492428",
            "telephone_number": "937-866-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "SHANNON",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "02850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Von Dohre, RN
• Cheyenne Waddell
• Karen Walker
• Angelina Jen Wallace
• Corinne-Rae Evaline Wampler
• Sahera Washburn, MS LPCC
• Bria Nicole Washington
• Lora Elizabeth Weaver
• Nichole Lynn Webster, NP
• Wellness 1 Pharmacy- West (Wellness1Pharmacy-West Carrollton Suite B)

• Occupational Therapy Assistant in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.