Individual provider Active NPI

Shannon Schneider, OT

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1780371898
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
6160 Peachtree Dunwoody Rd Ste B90
Atlanta, GA 30328-6040
Phone
(770) 673-0093
Fax
(770) 673-8368
NPI assigned
Apr 19, 2023
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 Primary

Addresses

Primary practice location

6160 Peachtree Dunwoody Rd Ste B90
Atlanta, GA 30328-6040

Mailing address

6160 Peachtree Dunwoody Rd Ste B90
Atlanta, GA 30328-6040
Phone (770) 673-0093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525001362 GA Practitioner - Occupational Therapist in Private Practice 3274999719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Therapy Center - North Atlanta, LLCGroup PAC ID 6204740046, 2 clinicians

Practice addresses (Care Compare)

335 Hammond Dr
Sandy Springs, GA 30328-5020
Phone (404) 435-5052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Therapy Center - North Atlanta, LLC CurrentSince May 5, 2023 Accepting new patients
Foundation Therapy Center-Alpharetta, LLC PastSince Apr 23, 2023 Accepting new patients

Locations

6160 Peachtree Dunwoody Rd
Ste B90
Sandy Springs, GA 30328
Phone (770) 673-0093

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1780371898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD STE B90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286040",
            "telephone_number": "770-673-0093",
            "fax_number": "770-673-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD STE B90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286040",
            "telephone_number": "770-673-0093",
            "fax_number": "770-673-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SHANNON",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.