Individual provider Active NPI

Shannon N Rucker, OT

  • Occupational Therapist
  • Topeka, KS
National Provider Identifier
1780431643
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-02920 Issued in KS
Practice address
2660 SW 3Rd St
Topeka, KS 66606-2442
Phone
(785) 354-6116
Fax
(785) 354-5166
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 17-02920 KS Primary

Addresses

Primary practice location

2660 SW 3Rd St
Topeka, KS 66606-2442

Mailing address

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 354-6116

Other practice location 1

1504 SW 8th Ave
Topeka, KS 66606-1632
Phone (785) 354-6761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516003413 KS Practitioner - Occupational Therapist in Private Practice 7618318940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2601 SW 3Rd St
Topeka, KS 66606-2438
Phone (785) 270-4630

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-02920KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 10, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 10, 2024 Accepting new patients

Locations

2660 SW 3rd St
Topeka, KS 66606
Phone (785) 270-8880

901 SW Garfield Ave
Topeka, KS 66606

1504 SW 8th Ave
Topeka, KS 66606
Phone (785) 232-8566

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1780431643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-354-6116",
            "fax_number": "785-354-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-354-6116",
            "fax_number": "785-354-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 SW 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061632",
            "country_code": "US",
            "telephone_number": "785-354-6761",
            "fax_number": "785-354-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "SHANNON",
        "middle_name": "N",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.