Shannon Hensley, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA007190 Issued in OH

Practice address

2801 E Royalton Rd
Broadview HTS, OH 44147-2827

Phone

(440) 526-4770

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1790281004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 DERBY AVE",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441254334",
            "telephone_number": "330-391-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472827",
            "telephone_number": "440-526-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "SHANNON",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA007190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Haely, D.C.
• David A Harding, D.P.M.
• Healthsource of Broadview Heights
• Andreana Marella Hendrickson, SLP
• Janice Lynn Hensley
• Kristine Alice Herrmann Pelagalli, M.D.
• Dawn Hilt, LPTA
• Howard Waxman
• David Huang
• Imagining the Garden LLC

• Occupational Therapy Assistant in Broadview HTS, OH
• Providers in Broadview HTS, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.