Shannon McCown, OT
Individual provider Active NPI Occupational Therapist · Tyler, TX
NPI 1801855846 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1801855846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 110269 (TX)
- Practice address
- 1722 W Front St
Tyler, TX 75702-6823 - Phone
- (903) 597-5067
- Fax
- (903) 597-6223
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110269 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110269 | TX | Yes |
Addresses
Primary practice location
1722 W Front St
Tyler, TX 75702-6823
Mailing address
1722 W Front St
Tyler, TX 75702-6823
Phone (903) 597-5067
Other providers in Tyler, TX
- Jodi McCollum
- Brooke Anne McCombs
- Amos Gene McCord
- Michelle McCormick
- Roger Lee McCown
- Cherri McCoy
- Christen McCoy
- Clay McCoy
- Jay Wyley McCoy
- Kendra Latrice McCracken
All providers in Tyler, TX · Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.