Active NPI
Shannon Hess
- Occupational Therapist
- Fort Myers, FL
National Provider Identifier
1760805634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT21227
- Practice address
- 3250 Winkler Ave
Fort Myers, FL 33916-9414 - Phone
- (239) 939-4993
- NPI assigned
- Jan 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010120 | MI | |
| Occupational Therapist | 225X00000X | OT3068 | ME | |
| Occupational Therapist | 225X00000X | OC013343 | PA | |
| Occupational Therapist | 225X00000X | 9813 | NC | |
| Occupational Therapist | 225X00000X | OT21227 | FL | Primary |
Addresses
Primary practice location
3250 Winkler Ave
Fort Myers, FL 33916-9414
Mailing address
5535 S Williamson Blvd
Suite 774
Port Orange, FL 32128-8311
Phone (800) 330-7711
Other practice location 1
5535 S Williamson Blvd
Suite 774
Port Orange, FL 32128
Phone (800) 330-7711 ext. 307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT21227 | FL | MD | Occupational Therapist |
| OT3068 | ME | MD | Occupational Therapist |
| 5201010120 | MI | MD | Occupational Therapist |
| OC013343 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1760805634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 S WILLIAMSON BLVD",
"address_2": "SUITE 774",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321288311",
"telephone_number": "800-330-7711",
"fax_number": "386-944-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WINKLER AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169414",
"telephone_number": "239-939-4993"
}
],
"practiceLocations": [
{
"address_1": "5535 S Williamson Blvd",
"address_2": "Suite 774",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "32128",
"country_code": "US",
"telephone_number": "800-330-7711 x307",
"fax_number": "386-944-7202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HESS",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010120",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT3068",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC013343",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9813",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT21227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.