Active NPI
Shannon Marie Harris, OTR
- Occupational Therapist
- Irondale, AL
National Provider Identifier
1811428527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3515
- Practice address
- 5000 Grantswood Rd Ste 220
Irondale, AL 35210-3661 - Phone
- (205) 520-9600
- Fax
- (205) 327-1377
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3515 | NM | Primary |
Addresses
Primary practice location
5000 Grantswood Rd Ste 220
Irondale, AL 35210-3661
Mailing address
5000 Grantswood Rd Ste 220
Irondale, AL 35210-3661
Phone (205) 520-9600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3515 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1811428527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 GRANTSWOOD RD STE 220",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352103661",
"telephone_number": "205-520-9600",
"fax_number": "205-327-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 GRANTSWOOD RD STE 220",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352103661",
"telephone_number": "205-520-9600",
"fax_number": "205-327-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "3515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.