Shannon Macmaster

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

15575 Issued in FL

Practice address

912 Denton Blvd NW Apt 1903
Fort Walton Beach, FL 32547-1681

Phone

(313) 595-6337

NPI assigned

Feb 14, 2021

Last updated

Feb 14, 2021By the provider in NPPES

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

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": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1770176455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 DENTON BLVD NW APT 1903",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471681",
            "telephone_number": "313-595-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 DENTON BLVD NW APT 1903",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471681",
            "telephone_number": "313-595-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMASTER",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "15575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerimiah Johnson Macaulay I
• Agata S Macdonald, OTR/L
• Celeste Ann Macdonald, ARNP
• Theodore I Macey, MD PA
• Christina Ann Macmanus, LCSW
• Kelsey Elizabeth Maddry-Smith, RBT
• Venkata R Magisetty
• Magnolia Manor Senior Day Program, LLC
• Magnolia Medical Clinic P.a.
• Magnolia Rehab Services (Magnolia Pediatric Therapy)

• Occupational Therapy Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.