Shannon Kay Wireman, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32001594A Issued in IN

Practice address

10820 Park PL
Saint John, IN 46373-8630

Phone

(219) 351-5214

NPI assigned

Sep 16, 2021

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1801566260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 W KOZAK DR",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463927373",
            "telephone_number": "219-964-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 PARK PL",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738630",
            "telephone_number": "219-351-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIREMAN",
        "first_name": "SHANNON",
        "middle_name": "KAY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001594A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Paul Weismann, MD
• Joanne Weisz, FNP
• Tressa Whitman, RDN
• Linda Widstrand
• Barbie Diane Winget, S.H.A.D
• Linda Joy Zandstra, RN
• Gianna Grace Zomparelli, NP

• Occupational Therapy Assistant in Saint John, IN
• Providers in Saint John, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.