Shannon O'Connor, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008715 Issued in VA

Practice address

8350 Silverbrook Rd
Lorton, VA 22079

Phone

(703) 436-0082

NPI assigned

Aug 14, 2020

Sex

Female

Sole proprietor

Yes

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 UT, NV2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

West Virginia University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wheelchair Clinic IncGroup PAC ID 0941613590, 51 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.

• Wheelchair Clinic Inc

  • Physical Therapist
  • Amarillo, TX
  • NPI 1265904064

  NV, Occupational Therapist, UT

  Medicare reassignment Care Compare group NPD
• Premere Rehab LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1811278351

  Occupational Therapist

  Medicare reassignment NPD
• Premere Rehab LLC

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1245278639

  Occupational Therapist

  NPD
• Premere Rehab LLC

  • Physical Therapist
  • Washington, UT
  • NPI 1245839547

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1750992558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 COMMONWEALTH AVE APT B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223052840",
            "telephone_number": "919-600-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 SILVERBROOK RD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "703-436-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 Commonwealth Ave Apt B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223052840",
            "country_code": "US",
            "telephone_number": "919-600-1559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thu Trang Thi Nguyen, RPH
• Nova Critical Care LLC
• Nova Dermatology Specialists PLLC
• Nova Health Care Management
• Nova Home Care Agency
• Irene Osaro Odigie, MD
• Puja Ohri, D.D.S.
• On the Go Medical Transportation LLC
• One in a Millie Home Health Care
• Amen C Otunba, FNP-C

• Occupational Therapist in Lorton, VA
• Providers in Lorton, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.