Shanna Humphrey, OT/CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1058897 Issued in OR

Practice address

2041 NE Williamson CT Ste B
Bend, OR 97701-3941

Phone

(541) 633-7535

Fax

(541) 706-9036

NPI assigned

Oct 28, 2020

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

Other names 1

• Shanna Noto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hand and Arm Therapy of Central Oregon Inc

  • Hand Occupational Therapist
  • Bend, OR
  • NPI 1538499215
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1801496963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7377",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977087377",
            "telephone_number": "541-633-7535",
            "fax_number": "541-706-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 NE WILLIAMSON CT STE B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013941",
            "telephone_number": "541-633-7535",
            "fax_number": "541-706-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "SHANNA",
        "credential": "OT/CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1058897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "NOTO",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Hujar
• Tara Dale Hulbert Burke, DO, FACOG
• Kelsey Ann Hulbert
• Cynthia Hull
• Kelsea Janelle Weber Hulstrom, PT, DPT
• Jennifer L Hundt, DPT
• Jennifer Hunt-Petrak
• Julia Hunt, CCC-A
• Brian Morris Huntamer, CADC I
• Benjamin Neil Hunter, M.D.

• Occupational Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.