Individual provider Active NPI

Shannon Elizabeth Hamerman, MOT

  • Occupational Therapist
  • Beaverton, OR
National Provider Identifier
1801024864
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2509 Issued in OR
Practice address
9560 SW Nimbus Ave
Beaverton, OR 97008-7184
Phone
(503) 614-1720
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 2509 OR Primary

Addresses

Primary practice location

9560 SW Nimbus Ave
Beaverton, OR 97008-7184

Mailing address

15101 SW Canyon Wren Way
Beaverton, OR 97007-1394

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1801024864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 SW CANYON WREN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970071394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 SW NIMBUS AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087184",
            "telephone_number": "503-614-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMERMAN",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.